69,864 results match your criteria: "Kentucky; and Methodist Medical Center M.T.[Affiliation]"

Unlabelled: The Alzheimer's disease (AD) research community continues to make great strides in expanding approaches for early detection and treatment of the disease, including recent advances in our understanding of fundamental AD pathophysiology beyond the classical targets: beta-amyloid and tau. Recent clinical trial readouts implicate a variety of non-amyloid/non-tau (NANT) approaches that show promise in slowing cognitive decline for people with AD. The Alzheimer's Association Research Roundtable (AARR) meeting held on December 13-14, 2022, reviewed the current state of NANT targets on underlying AD pathophysiology and their contribution to cognitive decline, the current data on a diverse range of NANT biomarkers and therapeutic targets, and the integration of NANT concepts in clinical trial designs.

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The STAT3 pathway promotes epithelial-mesenchymal transition, migration, invasion and metastasis in cancer. STAT3 upregulates the transcription of the key epithelial-mesenchymal transition transcription factor SNAIL in a DNA binding-independent manner. However, the mechanism by which STAT3 is recruited to the SNAIL promoter to upregulate its expression is still elusive.

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Empathy plays a crucial role in promoting older adults' interpersonal experiences, but it remains unclear how these benefits of empathy occur. To address this gap, we examined associations between empathy and how older adults behave and express emotions during their daily interpersonal encounters. Participants included 268 adults aged 65+ (46% men, n = 124) from the Daily Experiences and Well-being Study.

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Spinal cord injury (SCI) leads to permanent motor and sensory loss that is exacerbated by intraspinal inflammation and persists months to years after injury. After SCI, monocyte-derived macrophages (MDMs) infiltrate the lesion to aid in myelin-rich debris clearance. During debris clearance, MDMs adopt a proinflammatory phenotype that exacerbates neurodegeneration and hinders recovery.

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Improvement of cellular pattern organization and clarity through centrifugal force.

Biomed Mater

January 2025

University of Kentucky, 177 F Paul Anderson Tower, 512 Administration Drive, Lexington, Kentucky, 40506, UNITED STATES.

Rapid and strategic cell placement is necessary for high throughput tissue fabrication. Current adhesive cell patterning systems rely on fluidic shear flow to remove cells outside of the patterned regions, but limitations in washing complexity and uniformity prevent adhesive patterns from being widely applied. Centrifugation is commonly used to study the adhesive strength of cells to various substrates; however, the approach has not been applied to selective cell adhesion systems to create highly organized cell patterns.

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The COVID-19 pandemic and ensuing lockdown disrupted daily life and was related to increased mental health problems across the developmental spectrum, including for emerging adults. Understanding factors that contribute to adjustment during such national crises is critical, and attachment theory may provide a valuable framework for doing so. In the current study, 441 U.

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Emerging adults' financial stress and self-rated health: Meaning in life as a moderator.

J Am Coll Health

January 2025

Educational Leadership, Evaluation and Organizational Development, University of Louisville, Louisville, Kentucky, USA.

The primary objective of the study was to examine associations between financial stress and self-rated health (mental and physical), with presence of and search for meaning in life as moderator variables. The secondary objective was to examine the association between presence of meaning and self-rated health, with search for meaning as a moderator. The sample included 166 emerging adults (ages 18-32, mean age 22.

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Opioid Allergy Cross-Reactivity: A Retrospective Study Across Three Opioid Classes.

J Pain Palliat Care Pharmacother

January 2025

Lexington VA Health Care System, Lexington, Kentucky, USA.

IgE-mediated opioid hypersensitivities, or true allergies, are rare and most adverse reactions to opioids can be attributed to side effects or to pseudo-allergies. Given that immune-mediated allergies to opioids are uncommon, literature regarding cross-reactivity among opioid classes are limited. This retrospective study aimed to determine the rates of cross-reactivity and tolerance among patients with previously documented opioid allergy or adverse drug reaction (ADR) across three opioid drug classes (natural, semisynthetic, and synthetic opioids).

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Treating substance use disorders is difficult as individuals often resume substance use during abstinence. One potential factor contributing to the recurrence of substance use is incubation of drug craving. Specifically, individuals report higher levels of craving when presented with drug-paired stimuli across abstinence, although this effect is largely absent in opioid-dependent individuals.

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Article Synopsis
  • Patients recovering from anterior cruciate ligament reconstruction (ACLR) completed various assessments to measure strength, hop performance, and patient-reported outcomes (PROs), specifically looking at the Patient Acceptable Symptom State (PASS).
  • A total of 223 participants were evaluated for performance differences between those who did and did not meet the PASS threshold on their PROs.
  • Results indicated that patients achieving the International Knee Documentation Committee (IKDC) scores had significantly better strength and limb symmetry compared to those who did not meet this PRO threshold.
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The current study examines mother and father PPD as a risk factor for child emotion regulation difficulties. A model was tested in which parent depression and parent emotion socialization of children were serial intervening variables. Parent emotion socialization was assessed via parent self-reported supportive and nonsupportive reactions to child negative emotions.

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Systemic Medications and Their Ocular Side Effects.

Cureus

December 2024

Department of Clinical Research, Clinical Virtual Research Center, Wayne, USA.

Most of the drugs that we use in our everyday clinic cause ocular side effects or toxicity, depending on the drug duration and dose. Eye care physicians should be familiar with any possible ocular side effects linked to these medications, which could save the physicians' time to determine the diagnosis of the ocular irritation or toxicity. Not all medications are listed in this review, but we did go over the most common systemic medications based on our experience seeing patients in our everyday clinic.

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Description of implementing a mail-based overdose education and naloxone distribution program in community supervision settings during COVID-19.

J Subst Use Addict Treat

December 2024

Department of Pharmacy Practice & Science, Center for the Advancement of Pharmacy Practice, University of Kentucky, 789 S. Limestone, Lexington, KY 40508, USA. Electronic address:

Introduction: This study uses the Exploration, Preparation, Implementation, and Sustainment (EPIS) model to retrospectively describe the mail-based overdose education and naloxone distribution (OEND) program developed in collaboration with the Kentucky Department of Corrections (DOC) for use in the HEALing Communities Study in Kentucky (HCS-KY) and details the reach of this innovative delivery model.

Methods: HCS-KY is a community-engaged cluster-randomized trial assessing the effects of implementing evidence-based practices, including OEND, on overdose death reduction across 16 communities highly impacted by the opioid epidemic in Kentucky. The study launch coincided with the COVID-19 pandemic.

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Histone deacetylases synergistically regulate juvenile hormone signaling in the yellow fever mosquito, Aedes aegypti.

Insect Biochem Mol Biol

December 2024

Department of Entomology, College of Agriculture, Food and Environment, University of Kentucky, Lexington, KY, 40546, USA. Electronic address:

Article Synopsis
  • Effective control of Aedes aegypti mosquitoes is vital to reduce diseases like dengue and zika, focusing on blocking their transition from larvae to adults.
  • Research shows that histone deacetylases (HDACs) play a role in regulating juvenile hormone (JH) signaling and metamorphosis, particularly in other insects, but their function in Aedes aegypti is not well understood.
  • Knocking down specific HDAC genes increased the expression of a key gene (Kr-h1) involved in larval development, with each HDAC affecting different biological processes in mosquito growth, leading to varied developmental issues.
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Article Synopsis
  • The study investigates the relationship between the post-thaw morphology of cryopreserved equine IVP blastocysts and the likelihood of achieving pregnancy after transfer.
  • The findings show that while the biopsy procedure before freezing does not negatively impact pregnancy outcomes, blastocysts with over 10% herniated cells post-thaw are less likely to result in pregnancy.
  • Factors such as the interval between ICSI and blastocyst confirmation, and the specific stallion and mare involved, significantly influence pregnancy rates, with later developing embryos showing lower success rates.
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Association of Hyperinflammatory Subphenotype With Code Status De-Escalation in Patients With Acute Respiratory Failure.

CHEST Crit Care

December 2024

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine (A. C. M., S. M. N., C. S., I. J. B., B. J. M., and G. D. K.), University of Pittsburgh School of Medicine; the Department of Critical Care Medicine (I. J. B., D. B. W., and B. J. M.), University of Pittsburgh School of Medicine; and the Department of Medicine (H. Z.), University of Kentucky.

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Significance: Cellular metabolism is highly dynamic and strongly influenced by its local vascular microenvironment, gaining a systems-level view of cell metabolism is essential in understanding many critical biomedical problems in a broad range of disciplines. However, very few existing metabolic tools can quantify the major metabolic and vascular parameters together in biological tissues with easy access.

Aim: We aim to fill the technical gap by demonstrating a point-of-care, easy-to-use, easy-to-access, rapid, systematic optical spectroscopy platform for metabolic and vascular characterizations on biological models to enable scientific discoveries to translate more efficiently to clinical interventions.

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Background: Fluid balance gap (FBgap-prescribed vs. achieved) is associated with hospital mortality. Downtime is an important quality indicator for the delivery of continuous renal replacement therapy (CRRT).

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The heart is a dynamic pump whose function is influenced by its mechanical properties. The viscoelastic properties of the heart, i.e.

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Anti-Aβ immunotherapy use to treat Alzheimer's disease is on the rise. While anti-Aβ antibodies provide hope in targeting Aβ plaques in the brain there still remains a lack of understanding regarding the cellular responses to these antibodies in the brain. In this study we sought to identify acute effects of anti-Aβ antibody on immune responses.

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Career Paths of Young Fellowship-Trained Microsurgeons.

J Reconstr Microsurg

December 2024

Oral, Maxillofacial, and Plastic Surgery, University of Virginia Health System, Charlottesville, United States.

Article Synopsis
  • The study examined the career trajectories of 167 microsurgeons who completed their fellowships from 2016 to 2020, finding that 92.2% initially practiced microsurgery, with many entering academia.
  • About 31.4% of these surgeons switched jobs within five years, with a notable 58% changing their practice settings, while factors like gender and training did not significantly impact job changes.
  • Those in academic positions were more likely to switch jobs, and having a microsurgery fellowship was linked to a higher likelihood of remaining in academia after a job change.
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Introduction: Diffusion tensor image analysis along the perivascular space (DTI-ALPS) index was proposed for assessing glymphatic clearance function. This study evaluated DTI-ALPS as a biomarker for cerebral small vessel disease (cSVD) related vascular cognitive impairment and dementia (VCID).

Methods: Four independent cohorts were examined.

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