3,582 results match your criteria: "Lady Davis Institute for Medical Research[Affiliation]"

The Canadian Consortium on Neurodegeneration in Aging (CCNA) was created by the Canadian federal government through its health research funding agency, the Canadian Institutes for Health Research (CIHR), in 2014, as a response to the G7 initiative to fight dementia. Two five-year funding cycles (2014-2019; 2019-2024) have occurred following peer review, and a third cycle (Phase 3) has just begun. A unique construct was mandated, consisting of 20 national teams in Phase I and 19 teams in Phase II (with research topics spanning from basic to clinical science to health resource systems) along with cross-cutting programs to support them.

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Background: Existing frameworks of older persons' experiences in health and social care systems are usually based on single stakeholder perspectives and focused on limited aspects that are independent from one another. This study aimed to describe such experiences from the perspective of diverse stakeholders and develop a comprehensive experience-based framework for actionable priorities to enhance Canada's health and social care system.

Methods: We adapted a nominal group technique with a qualitative approach.

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Advances in the Regulation of Periostin for Osteoarthritic Cartilage Repair Applications.

Biomolecules

November 2024

Department of Surgical and Interventional Sciences, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3G 2M1, Canada.

Article Synopsis
  • - The study investigates the role of periostin (POSTN) in osteoarthritis (OA), finding it is increased in patients and linked to inflammation and cartilage breakdown, suggesting it could be a target for therapy.
  • - Link N (LN), a peptide from link protein, is shown to have anabolic properties and can reduce inflammation and degradation in cartilage, leading the researchers to explore its effects on POSTN expression.
  • - Experimental results reveal that LN can decrease POSTN expression and disrupt its signaling in chondrocytes, indicating it has potential as a therapeutic agent in treating OA by targeting POSTN.
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Background: Persons living with dementia and their care partners encounter many challenges within the health and social care system, including lack of information, support, counselling, and access to community services, as well as significant staff turnover in home care services. The objective of this study was to work with multiple stakeholders to formulate relevant and feasible recommendations to improve care for persons living with dementia and their care partners in Quebec, Canada.

Methods: We conducted deliberative dialogues in the context of a large mixed methods study on the care of persons living with dementia and care partners.

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Purpose: Building timely consensus among diverse stakeholders is important in primary health care research. Consensus can be obtained using the nominal group technique which includes 5 steps: (1) introduction and explanation; (2) silent generation of ideas; (3) sharing ideas; (4) discussion; and (5) voting and ranking. The main challenges in using this technique are a lack of representation of different stakeholder opinions and the amount of time taken to reach consensus.

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Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool.

JAMA Netw Open

November 2024

Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.

Article Synopsis
  • The study investigates how using small datasets to select an optimal cutoff score for the Patient Health Questionnaire-9 (PHQ-9) can lead to inaccurate results.
  • Researchers evaluated whether data-driven methods for cutoff selection resulted in scores that were significantly different from the true population optimal score and if these methods produced biased accuracy estimates.
  • Findings showed that many small studies frequently failed to identify the correct optimal cutoff score, particularly in smaller samples, leading to an overestimation of test sensitivity.
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Background: Coronary artery disease is the most common form of cardiovascular disease. It is caused by excess plaque along the arterial wall, blocking blood flow to the heart (stenosis). A percutaneous coronary intervention widens the arterial wall with the inflation of a balloon inside the lesion area and leaves behind a metal stent to prevent re-narrowing of the artery (restenosis).

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Oral health in systemic sclerosis: A scoping review.

J Scleroderma Relat Disord

May 2024

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.

Article Synopsis
  • Limited research on oral health in systemic sclerosis prompts a scoping review to identify studies related to quality of life across five key domains: symptoms, functional impacts, psychosocial factors, patient-related variables, and self-care practices.
  • From 1460 studies reviewed, only 91 were included, with most being conducted in Europe or North America and featuring small participant numbers, indicating a significant gap in comprehensive research.
  • The majority of studies focus on oral manifestations and symptoms, with fewer addressing other crucial areas; further systematic reviews and larger studies are essential to improve understanding and care for systemic sclerosis patients.
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Introduction/objective: The Scleroderma Patient-centered Intervention Network Support group Leader EDucation Program was found in a randomized controlled trial to substantially improve leader self-efficacy. Whether the program is effective for leaders with different levels of experience, including candidate leaders with no prior experience and leaders with ⩽3 years experience or ⩾4 years experience, is not known. The objective of the present post hoc secondary analysis was to evaluate outcomes by leader experience, age, and education.

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Article Synopsis
  • Recent studies highlight significant gaps in equity, diversity, and inclusion (EDI) within the AI lifecycle, from data collection to implementation, and lack established guidelines for integration.
  • The objective of the study was to develop a comprehensive guiding framework for integrating EDI principles into the AI development process, aimed at addressing these identified gaps.
  • The EDAI framework was created through a systematic scoping review and feedback from multidisciplinary workshops, providing guidelines to facilitate EDI integration across all stages of the AI lifecycle while identifying challenges and supports for this integration.
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Objective: Organ damage in systemic sclerosis (SSc) in individual organs such as the lungs may be prevented by immunosuppressive drugs (IS). A new measure of global organ damage, the Scleroderma Clinical Trials Consortium Damage Index (SCTC-DI), has allowed us to investigate whether IS may reduce global organ damage accrual in early SSc.

Methods: This was a retrospective study of patients with < 2 years disease duration in Canadian and Australian SSc cohorts.

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Background: Health technology assessment (HTA) organizations generate guidelines to inform healthcare practices toward improved health outcomes. This review sought to identify and classify outcomes of guidelines from HTA organizations within published research.

Methodology: We performed a systematic mixed studies review of empirical studies that (a) referred to a published guideline from an HTA organization and (b) reported an outcome resulting from a guideline.

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Monte Carlo simulated correction factors for high dose rate brachytherapy postal dosimetry audit methodology.

Phys Imaging Radiat Oncol

October 2024

International Atomic Energy Agency, Department of Nuclear Sciences and Applications, Division of Human Health, Vienna, Austria.

Background And Purpose: Full-scatter conditions in water are impractical for postal dosimetry audits in brachytherapy. This work presents a method to obtain correction factors that account for deviations from full-scatter water-equivalent conditions for a small plastic phantom.

Material And Methods: A 16 × 8 × 3 cm phantom (PMMA) with a radiophotoluminescent dosimeter (RPLD) at the centre and two catheters on either side was simulated using Monte Carlo (MC) to calculate correction factors accounting for the lack of scatter, non-water equivalence of the RPLD and phantom, source model and backscatter for HDR Co and Ir sources.

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The impact of body mass index on the risk of postoperative complications following myomectomy.

Am J Obstet Gynecol

November 2024

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA.

Article Synopsis
  • * This research aimed to investigate the link between BMI and short-term postoperative complications following myomectomy, analyzing data from the American College of Surgeons database from 2012 to 2020 and excluding vaginal myomectomy cases.
  • * The study found that 11.4% of the 27,387 patients experienced complications, with rates varying by BMI category, where patients with obesity class 1 had fewer major complications, while those in obesity class 2 and 3 had more complications compared to
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Article Synopsis
  • Mendelian randomization is being used to analyze causal effects of genetic factors, but many existing methods may not address the issue of horizontal pleiotropy effectively.
  • Researchers developed MR Corge, a tool that focuses on core genetic instruments tied to biological functions of the exposure, improving sensitivity analysis and minimizing pleiotropy risks.
  • MR Corge has shown reliable results aligning with established biomedical knowledge and is available as an open-sourced R package for broader application in studying polygenic exposure-outcome relationships.
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Engagement of people with lived experience in studies published in high-impact psychiatry journals: meta-research review.

Res Involv Engagem

November 2024

Lady Davis Institute for Medical Research, Jewish General Hospital, 3775 Cote Ste Catherine Road, Pavilion H4.83, Montreal, QC, H3T 1E2, Canada.

Background: We evaluated studies published in high-impact psychiatry journals to assess (1) the proportion that reported in articles whether they engaged people with lived experience; (2) the proportion that likely engaged people with lived experience; and, if engagement occurred, (3) stages of research (planning, conduct, interpretation, dissemination); and (4) engagement level (consult, involve, partner).

Methods: We searched PubMed on December 14, 2022, for articles in psychiatry journals with impact factor ≥ 10 and reviewed articles in reverse chronological order until 141 were included, based on pre-study precision estimation. We contacted authors to obtain information on engagement.

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Master regulators of neurogenesis: the dynamic roles of Ephrin receptors across diverse cellular niches.

Transl Psychiatry

November 2024

Department of Cellular and Molecular Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada.

The ephrin receptors (EphRs) are the largest family of receptor tyrosine kinases (RTKs) that are abundantly expressed in the developing brain and play important roles at different stages of neurogenesis ranging from neural stem cell (NSC) fate specification to neural migration, morphogenesis, and circuit assembly. Defects in EphR signalling have been associated with several pathologies including neurodevelopmental disorders (NDDs), intellectual disability (ID), and neurodegenerative diseases (NDs). Here, we review our current understanding of the complex and dynamic role of EphRs in the brain and discuss how deregulation of these receptors contributes to disease, highlighting their potential as valuable druggable targets.

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Fall risk screening in older adults using the "CARE" frailty scale: The NuAge cohort results.

Maturitas

January 2025

CHU de Nice, Pôle Réhabilitation Autonomie VieillissementIRCAN - Université Côte d'Azur (UNiCA), INSERM U1081 - CNRS UMR 7284; Laboratoire CoBTeK, Université Côte d'Azur, Nice, France.

Background: "CARE" is an electronic health (e-health) application (app) which assesses frailty with its frailty module and risk of falls with its mobility module. This study examines and compares the risk of incident falls (i.e.

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Mechanisms of Metal-Induced Hepatic Inflammation.

Curr Environ Health Rep

December 2024

Division of Experimental Medicine, McGill University, Montréal, Québec, Canada.

Purpose Of Review: Worldwide, there is an increasing prevalence of hepatic diseases. The most common diseases include alcoholic-associated liver disease (ALD), metabolic dysfunction-associated fatty liver disease/ metabolic dysfunction-associated steatohepatitis (MAFLD/MASH) and viral hepatitis. While there are many important mediators of these diseases, there is increasing recognition of the importance of the inflammatory immune response in hepatic disease pathogenesis.

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Background: HPV test-based primary cervical screening is replacing cytology in Canada. In other countries, women's unpreparedness and concerns hindered the transition and post-implementation screening uptake. We investigated psychosocial correlates of intentions of screening in eligible individuals to participate in HPV-based primary cervical screening.

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Article Synopsis
  • Autism prevalence in the U.S. more than increased fourfold from 2000 to 2020, prompting research into factors that contribute to autistic traits in children.
  • A study focused on children exposed to prenatal maternal stress (PNMS) during a natural disaster (2008 Iowa floods) found that a mother's subjective distress significantly predicted the severity of autistic-like traits in her children.
  • The study revealed that maternal distress during pregnancy had a lasting impact on these traits from ages 4 to 7, while other factors like objective hardship or timing didn't show significant effects.
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E-Brachy: New dosimetry package for electronic brachytherapy sources.

Med Phys

January 2025

Medical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

Article Synopsis
  • A study investigates discrepancies in dosimetry of the Xoft electronic high-dose rate brachytherapy due to variability in source manufacturing, aiming to develop a software tool called E-Brachy for better characterization.
  • E-Brachy employs the Geant4 Monte Carlo toolkit, using Python for geometry integration and advanced simulation techniques to generate x-ray spectra from electrons, which are then compared to standards from NIST.
  • Results show that E-Brachy successfully generates a spectrum similar to NIST measurements, suggesting potential improvements in dosimetric accuracy for clinical applications.
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Article Synopsis
  • Intervertebral disc degeneration and pain are linked to the activation of the NLRP3 inflammasome and the processing of IL-1β, which involves Toll-like receptor stimulation and the CD14 receptor.
  • The peptide Short Link N (sLN) has shown promise in reducing inflammation and pain in disc cells, but its exact mechanisms of action are not fully understood.
  • This study found that sLN inhibited the activation of NFκB and Caspase-1, leading to lower levels of IL-1β, and demonstrated a direct interaction between sLN and CD14, suggesting sLN could be a potential treatment for disc-related pain.
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