635 results match your criteria: "Louis Stokes Cleveland Veterans' Affairs Medical Center[Affiliation]"

Long non-coding RNA regulating androgen receptor signaling in breast and prostate cancer.

Cancer Lett

April 2021

Department of Urology, Case Western Reserve University, Cleveland, OH, 44106, USA; The Urology Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106, USA; Department of Nutrition, Case Western Reserve University, Cleveland, OH, 44106, USA; Division of General Medical Sciences, Case Comprehensive Cancer Center, Cleveland, OH, 44106, USA; Department of Urology, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, 44106, USA. Electronic address:

The human genome transcribe an array of RNAs that do not encode proteins and may act as mediators in the regulation of gene expression. Long non-coding RNAs (lncRNAs) are a group of non-coding RNAs consisting of more than 200 nucleotides of RNA transcripts that play important role in tumor development. Numerous lncRNAs have been characterized as functional transcripts associated with several biological processes and pathologic stages.

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Objective: Previous studies showed the benefit of canonical transient receptor potential 6 (TRPC6) channel deficiency in promoting endothelial healing of arterial injuries in hypercholesterolemic animals. Long-term studies utilizing a carotid wire-injury model were undertaken in wild-type (WT) and TRPC6 mice to determine the effects of TRPC6 on phenotypic modulation of vascular smooth muscle cells (SMC) and neointimal hyperplasia. We hypothesized that TRPC6 was essential in the maintenance or reexpression of a differentiated SMC phenotype and minimized luminal stenosis following arterial injury.

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Background: Environmental contamination is an important source of hospital multidrug-resistant organism (MDRO) transmission. Factors such as patient MDRO contact precautions (CP) status, patient proximity to surfaces, and unit type likely influence MDRO contamination and bacterial bioburden levels on patient room surfaces. Identifying factors associated with environmental contamination in patient rooms and on shared unit surfaces could help identify important environmental MDRO transmission routes.

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Coronavirus disease 2019 (COVID-19) research agenda for healthcare epidemiology.

Infect Control Hosp Epidemiol

February 2022

Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University School of Medicine, Durham, North Carolina, United States.

This SHEA white paper identifies knowledge gaps and challenges in healthcare epidemiology research related to coronavirus disease 2019 (COVID-19) with a focus on core principles of healthcare epidemiology. These gaps, revealed during the worst phases of the COVID-19 pandemic, are described in 10 sections: epidemiology, outbreak investigation, surveillance, isolation precaution practices, personal protective equipment (PPE), environmental contamination and disinfection, drug and supply shortages, antimicrobial stewardship, healthcare personnel (HCP) occupational safety, and return to work policies. Each section highlights three critical healthcare epidemiology research questions with detailed description provided in supplementary materials.

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Unusual Cause of Cardiac Arrest.

JAMA Intern Med

April 2021

Louis Stokes Cleveland Veterans Affairs Medical Center, Division of Cardiology, Department of Medicine, Case Western Reserve University, Cleveland, Ohio.

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Objective: To investigate the timing and routes of contamination of the rooms of patients newly admitted to the hospital.

Design: Observational cohort study and simulations of pathogen transfer.

Setting: A Veterans' Affairs hospital.

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Single-leg cycling (SLC) allows for a greater muscle specific exercise capacity and therefore provides a greater stimulus for metabolic and vascular adaptations compared to double-leg cycling (DLC). The purpose of this investigation was to compare the cardiovascular, peripheral, and metabolic responses of counterweighted (10kg) SLC to DLC in a healthy older male population. Eleven males (56-86 years) performed two cycling modalities consisting of DLC and SLC.

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Enzalutamide, an antiandrogen, is approved for therapy of castration resistant prostate cancer. Clinical applications have shown that approximately 30% of patients acquire resistance after a short period of treatment. However, the molecular mechanisms underlying this resistance is not completely understood.

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Hospitalizations among adults with chronic kidney disease in the United States: A cohort study.

PLoS Med

December 2020

Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, United States of America.

Background: Adults with chronic kidney disease (CKD) are hospitalized more frequently than those without CKD, but the magnitude of this excess morbidity and the factors associated with hospitalizations are not well known.

Methods And Findings: Data from 3,939 participants enrolled in the Chronic Renal Insufficiency Cohort (CRIC) Study between 2003 and 2008 at 7 clinical centers in the United States were used to estimate primary causes of hospitalizations, hospitalization rates, and baseline participant factors associated with all-cause, cardiovascular, and non-cardiovascular hospitalizations during a median follow up of 9.6 years.

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Androgen deprivation therapy (ADT) is standard-of-care for advanced-stage prostate cancer, and enzalutamide (Xtandi, Astellas, Northbrook, IL, USA), a second generation antiandrogen, is prescribed in this clinical setting. The response to this medication is usually temporary with the rapid emergence of drug resistance. A better understanding of gene expression changes associated with enzalutamide resistance will facilitate circumventing this problem.

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Significance: Whipple disease is a rare chronic, systemic bacterial infection that predominantly affects the small intestine but also other organs of the body. When left untreated, it can be not only vision threatening but also life threatening because of its central nervous system involvement. Therefore, early detection and treatment are important.

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Objectives: To characterize monocyte subsets and activation in persons living with HIV (PLWH) with tuberculosis coinfection.

Design: Cross-sectional study within a cohort of PLWH and HIV-uninfected participants at the Joint Clinical Research Centre in Kampala, Uganda.

Methods: Participants were at least 45 years old with at least one cardiovascular risk factor.

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Purpose: Retinopathy of prematurity (ROP) is a severe complication of premature infants, leading to vision loss when untreated. Presently, the molecular mechanisms underlying ROP are still far from being clearly understood. This study sought to investigate whether thyroid hormone (TH) signaling contributes to the neuropathology of ROP using the mouse model of ROP to evaluate longitudinal photoreceptor function.

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Individuals who have lost the use of their hands because of amputation or spinal cord injury can use prosthetic hands to restore their independence. A dexterous prosthesis requires the acquisition of control signals that drive the movements of the robotic hand, and the transmission of sensory signals to convey information to the user about the consequences of these movements. In this Review, we describe non-invasive and invasive technologies for conveying artificial sensory feedback through bionic hands, and evaluate the technologies' long-term prospects.

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Background: Infants asymptomatically excrete Clostridioides difficile during their first year of life, suggesting that they may represent a source of infection for adults who acquire community-associated C. difficile infection (CA-CDI). The genetic relationship of C.

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Critical Roles of Embryonic Born Dorsal Dentate Granule Neurons for Activity-Dependent Increases in BDNF, Adult Hippocampal Neurogenesis, and Antianxiety-like Behaviors.

Biol Psychiatry

March 2021

Department of Neurosciences, School of Medicine, Case Western Reserve University, Cleveland, Ohio; Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio; Department of Neuroscience and Regenerative Medicine, Medical College of Georgia, Augusta University, Augusta, Georgia. Electronic address:

Background: Dentate gyrus (DG), a "gate" that controls information flow into the hippocampus, plays important roles in regulating both cognitive (e.g., spatial learning and memory) and mood behaviors.

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The Ongoing Threat of Antimicrobial Resistance.

Infect Dis Clin North Am

December 2020

Louis Stokes Cleveland Veterans Affairs Medical Center, Departments of Medicine, Biochemistry, Pharmacology, Molecular Biology, and Microbiology, Case Western Reserve University School of Medicine, 10701 East Boulevard, Cleveland, OH 44106, USA. Electronic address:

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Implementation of a geriatric emergency department program using a novel workforce.

Am J Emerg Med

August 2021

Medicine Service, Louis Stokes Cleveland Veterans Affairs Medical Center, 10701 East Blvd, Cleveland, OH 44106, USA; Department of Medicine, Case Western Reserve University School of Medicine, 10900 Euclid Ave, Cleveland, OH 44106, USA.

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Objective: To identify risk factors for asymptomatic Clostridioides difficile colonization among hospitalized adults utilizing a meta-analysis, which may enable early identification of colonized patients at risk of spreading C. difficile.

Design: Meta-analysis and systematic review.

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Unlabelled: Burnout is highly prevalent among physicians and is associated with negative patient outcomes. Furthermore, medical training is a particularly vulnerable time as studies show that medical students, residents, and fellows experience burnout and emotional exhaustion at higher rates than both the general population and physicians in practice. Multiple recent studies have demonstrated the practice of religion and spirituality to be protective against burnout in trainees.

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Article Synopsis
  • Cryoglobulinemia is a rare blood disorder that often presents symptoms in the legs, making it easy to confuse with more common skin conditions.
  • The authors provide an overview of the condition and share a case report to illustrate its symptoms.
  • The text highlights important diagnostic steps to accurately identify cryoglobulinemia and differentiate it from other causes of leg ulcers.
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Acne Severity and Sleep Quality in Adults.

Clocks Sleep

December 2019

Department of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA; (S.A.); (M.B.); (R.T.); (E.B.).

Poor sleep quality is extremely prevalent, with about one third of adults in the USA obtaining less than the recommended amount of sleep. In addition, poor sleep quality has been linked to an increased risk of many conditions, including diabetes, hypertension, psychiatric conditions, and overall all-cause mortality. Research has shown that sleep disturbance does impact skin disease, although many details of this relationship are still unclear.

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Chronic neurodegeneration in survivors of traumatic brain injury (TBI) is a major cause of morbidity, with no effective therapies to mitigate this progressive and debilitating form of nerve cell death. Here, we report that pharmacologic restoration of the blood-brain barrier (BBB), 12 mo after murine TBI, is associated with arrested axonal neurodegeneration and cognitive recovery, benefits that persisted for months after treatment cessation. Recovery was achieved by 30 d of once-daily administration of P7C3-A20, a compound that stabilizes cellular energy levels.

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Neddylation is critical to cortical development by regulating Wnt/β-catenin signaling.

Proc Natl Acad Sci U S A

October 2020

Department of Neurosciences, School of Medicine, Case Western Reserve University, Cleveland, OH 44106;

Wnt signaling plays a critical role in production and differentiation of neurons and undergoes a progressive reduction during cortical development. However, how Wnt signaling is regulated is not well understood. Here we provide evidence for an indispensable role of neddylation, a ubiquitylation-like protein modification, in inhibiting Wnt/β-catenin signaling.

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