31,909 results match your criteria: "University of Maryland School of Medicine[Affiliation]"

Background: Persistent immune activation is linked to elevated cardiovascular diseases in people with HIV on antiretroviral therapy. The fat attenuation index (FAI) is a measure of peri-coronary inflammation that independently predicts cardiovascular disease risk in people without HIV. Whether FAI is associated with immune activation is unknown.

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  • - The Warburg effect describes how cancer cells favor aerobic glycolysis, producing more lactate even with oxygen available, which leads to an acidic tumor environment that promotes cancer traits like drug resistance and immune evasion.
  • - Proton-sensing G-protein-coupled receptors (GPCRs), such as GPR68, can detect this acidity and activate cancer-promoting signaling pathways, suggesting a link between the acidic environment and tumor growth mechanisms.
  • - Understanding how these proton-sensing receptors relate to the Warburg effect could open up new avenues for cancer treatment by targeting the metabolic changes that favor tumor development.
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This case series describes the endovascular management of three patients with catheter-associated superior vena cava (SVC) syndrome. SVC syndrome can result from malignant (60%) or benign (40%) etiologies. The most common causes of benign SVC syndrome are indwelling central venous catheters (CVCs) with 1%-3% and 0.

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Study Design: Reliability study.

Objectives: The radiographic diagnosis of non-union is not standardized. Prior authors have suggested using a cutoff of <1 mm interspinous process motion (ISPM) on flexion-extension radiographs, but the ability of practicing surgeons to make these measurements reliably is not clear.

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Vector coding is a major mechanism by which neural systems represent an animal's location in both global and local, item-based reference frames. Landmark vector cells (LVCs) in the hippocampus complement classic place cells by encoding vector relationships between the organism and specific landmarks. How these place- and vector-coding properties interact is not known.

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Introduction: Malnutrition contributes to 45% of all childhood deaths globally, but these modelled estimates lack direct measurements in countries with high malnutrition and under-5 mortality rates. We investigated malnutrition's role in infant and child deaths in the Child Health and Mortality Prevention Surveillance (CHAMPS) network.

Methods: We analysed CHAMPS data from seven sites (Bangladesh, Ethiopia, Kenya, Mali, Mozambique, Sierra Leone and South Africa) collected between 2016 and 2023.

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  • The opioid crisis has evolved into a global issue affecting various socioeconomic and cultural areas, with traditional treatment methods proving insufficient.
  • A narrative review was conducted using multiple databases to explore the complex factors contributing to this epidemic, acknowledging the potential for bias in article selection.
  • Despite some progress with Opioid Substitution Therapy, U.S. overdose deaths remain alarmingly high and are projected to increase; the authors suggest a need for a new treatment approach that targets brain neurotransmitter systems for better management.
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  • In psychotic disorders, deficits in motivation and pleasure (MAP) are linked to problems in social connections and overall functioning.
  • A study using a transdiagnostic sample found that people with more negative symptoms experienced less emotional benefit from social interactions, even when they tried to engage with partners.
  • Neuroimaging results showed that those with greater MAP deficits had reduced neural responses to comforting physical touch, indicating that these deficits interfere with the positive effects of social support on stress regulation.
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  • Alcohol-related liver disease (ALD) is a growing public health issue, especially among people under 55, leading to an increase in alcohol-attributable deaths that are projected to rise further by 2030.
  • Data from the CDC revealed a significant increase in mortality rates, particularly in the 25-34 age group, with rates climbing from 3.9 per 100,000 in 1999 to an expected 14.4 per 100,000 by 2030.
  • This upward trend highlights the urgent need for public health interventions to address and reduce ALD mortality rates in younger populations.
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  • * VPA treatment in pregnant mice alters the expression of around 7,300 genes in fetal brains, impacting genes related to autism risk and fetal brain development, without significant differences based on the sex of the fetus.
  • * The study aims to identify specific mouse genes affected by VPA that are connected to autism and embryonic brain development, which could lead to insights on brain connectivity issues and potential therapies for autism-related disorders.
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Background: Faculty tenure at U.S. medical schools has become less commonplace over the last several decades.

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The brain has evolved mechanisms to dynamically modify blood flow, enabling the timely delivery of energy substrates in response to local metabolic demands. Several such neurovascular coupling (NVC) mechanisms have been identified, but the vascular signal transduction and transmission mechanisms that enable dilation of penetrating arterioles (PAs) remote from sites of increased neuronal activity are unclear. Given the exponential relationship between vessel diameter and blood flow, tight control of arteriole membrane potential and diameter is a crucial aspect of NVC.

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  • Cancer-related coagulation abnormalities lead to imbalances in the hemostatic system, increasing risks of both blood clots and bleeding, which raises patient morbidity and mortality.
  • Improved cancer treatments have resulted in better survival rates and an aging population of cancer survivors, thus increasing the overall number of patients requiring surgical procedures.
  • Anesthesiologists need to be knowledgeable about the types and effects of cancer-related coagulation issues to effectively manage the perioperative care of these high-risk patients.
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Background: Proteomic phenotyping can provide insights into rejection pathophysiology, novel biomarkers, and therapeutic targets.

Methods: Within the prospective, multicenter Genomic Research Alliance for Transplantation study, 181 proteins were evaluated from blood drawn at the time of endomyocardial biopsy; protein fold change, logistic regression, and pathway analyses were conducted, with protein discovery adjusted for a 5% false discovery rate.

Results: Among 104 adult heart transplant patients (31% female sex, 53% Black race, median age 52 y), 74 had no rejection, 18 developed acute cellular rejection (ACR), and 12 developed antibody-mediated rejection (AMR).

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Introduction: A stepwise coordinated multiple therapeutic targeted approach to the treatment of type 2 diabetes includes starting with lifestyle modification, oral antihyperglycemic agents, non-insulin injectables (Glucagon-like peptide-1 receptor agonists (GLP-1 RAs), and both short and long-acting insulins. Ultra-long-acting insulins offer more convenient administration. As in any chronic disease, the introduction of a novel medication must balance safety, efficacy, financial cost, as well as improved patient convenience and adherence.

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  • The study investigates how social and home environments influence early substance use initiation (SUI) in adolescents, particularly focusing on alcohol (AUI) and cannabis (CUI) use.
  • It examines whether family history of substance use disorders (FH+) affects the relationship between these environmental factors and SUI.
  • Findings reveal that risky peer affiliations increase the risk of AUI and CUI regardless of FH status, but a strong mother-youth relationship can provide protection from CUI, which is weakened for those with a FH+.
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SARS-CoV-2 Nsp6-Omicron causes less damage to the Drosophila heart and mouse cardiomyocytes than ancestral Nsp6.

Commun Biol

December 2024

Center for Precision Disease Modeling, Department of Medicine, University of Maryland School of Medicine, 670 West Baltimore Street, Baltimore, MD, 21201, USA.

A few years into the COVID-19 pandemic, the SARS-CoV-2 Omicron strain rapidly becomes and has remained the predominant strain. To date, Omicron and its subvariants, while more transmittable, appear to cause less severe disease than prior strains. To study the cause of this reduced pathogenicity we compare SARS-CoV-2 ancestral Nsp6 with Nsp6-Omicron, which we have previously identified as one of the most pathogenic viral proteins.

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Behavioral assessment of well-being in the naïve laboratory ferret (Mustela putorius furo).

Sci Rep

December 2024

Department of Anesthesiology and the Center for Shock, Trauma and Anesthesiology (STAR) Research, University of Maryland School of Medicine, 685 W. Baltimore St. MSTF 5.34, Baltimore, MD, 21201, USA.

Domestic ferrets (Mustela putorius furo) are an emerging model species in biomedical research. While behavioral studies are a critical translational tool for evaluating neurologic function in disease models and toxicology studies, there is a lack of ferret-specific behavioral assays and corresponding data on baseline behavior. Play behavior is a promising target for evaluation of psychological well-being, particularly because ferrets engage in solitary and social play well into adulthood.

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