14,090 results match your criteria: "Veterans Administration Medical Center.[Affiliation]"

Differential lipid signaling from CD4 and CD8 T cells contributes to type 1 diabetes development.

Front Immunol

October 2024

Department of Cell, Developmental, and Integrative Biology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.

Introduction: We reported that Ca-independent phospholipase Aβ (iPLAβ)-derived lipids (iDLs) contribute to type 1 diabetes (T1D) onset. As CD4 and CD8 T cells are critical in promoting β-cell death, we tested the hypothesis that iDL signaling from these cells participates in T1D development.

Methods: CD4 and CD8 T cells from wild-type non-obese diabetic () and .

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Background: Many of the current treatments for chronic neuropathic pain have variable effectiveness and known side effects. Given the prevalence of this type of intractable pain (3-17% of general population), additional therapeutic non-invasive approaches are desired. Magnetic Peripheral Nerve Stimulation (mPNS) delivered at 0.

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Antidepressant Medication Use for Treatment of Chronic Ocular Pain.

Cornea

November 2024

Surgical Services, Miami Veterans Administration Medical Center, Bascom Palmer Eye Institute, University of Miami, Miami, FL.

Chronic ocular pain (COP) is a leading cause of eye care visits in the US and has a substantial impact on quality of life and visual functioning. Although many conditions underlie COP, such as dry eye disease or post-herpetic neuralgia, some people experience pain without significant ocular signs on examination or known risk factors (eg, traumatic injury). Antidepressant medications that act primarily on the central nervous system, such as tricyclic antidepressants and serotonin and norepinephrine reuptake inhibitors, are often used to treat patients with COP, but a recent Cochrane review and network meta-analysis investigating 25 different antidepressants concluded that only two serotonin and norepinephrine reuptake inhibitors, have sufficient data to support their use in chronic pain.

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Temporary Keratoprosthesis and Primary Corneal Graft for Ocular Trauma: A Systematic Review and Meta-Analysis.

Am J Ophthalmol

December 2024

Ophthalmology Department, University Hospitals Birmingham NHS Foundation Trust (P.S., R.J.B.), Birmingham, UK; Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine (R.J.B.), Birmingham, UK; Neuroscience and Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham (R.J.B.), Birmingham, UK. Electronic address:

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The Opinion of Healthcare Professionals About a Proposed European Registry of Neuromodulation for Chronic Pain: An Online Survey.

Neuromodulation

February 2025

STIMULUS research group, Vrije Universiteit Brussel, Brussels, Belgium; Department of Neurosurgery, Universitair Ziekenhuis Brussel, Brussels, Belgium; Cluster neurosciences, Center for Neurosciences, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium.

Introduction: During the last decade, the complementary value of real-world data (through registries or medical records) and data from randomized clinical trials has been recognized as increasingly important. In the field of neuromodulation, only a few industry-independent nationwide neuromodulation registries are available. The interest in creating a European registry has increased but without a successful result.

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Inherited retinal diseases (IRDs) encompass a wide spectrum of rare conditions characterized by diverse phenotypes associated with hundreds of genetic variations, often leading to progressive visual impairment and profound vision loss. Multiple natural history studies and clinical trials exploring gene therapy for various IRDs are ongoing. Outcomes for ophthalmic trials measure visual changes in three main categories-structural, functional, and patient-focused outcomes.

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  • This study investigates the long-term effects of acute kidney injury (AKI) caused by bilateral ischemia-reperfusion injury (BIRI) on kidney lymphatic dynamics in mice over a period of up to 9 months.
  • While kidney function initially recovered, the researchers found ongoing tissue damage and inflammation through histological analysis, indicating lasting effects of the injury.
  • The study highlights distinct phases of lymphatic responses with unique transcriptional signatures, immune cell changes, and the formation of new lymphatic structures, suggesting a critical link between AKI and the development of chronic kidney disease.
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  • The study investigated the impact of hypotension on heart failure outcomes using data from the PARADIGM-HF trial, focusing on the differences between asymptomatic and symptomatic hypotension.
  • Out of 8,399 patients, 16% had only asymptomatic hypotension, while 11.1% experienced symptomatic hypotension, with those having symptomatic hypotension being older and having more cardiovascular issues.
  • Despite the risks associated with either type of hypotension, the heart failure medication sacubitril/valsartan showed consistent effectiveness and safety compared to enalapril across all patient groups.
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Background: Restenosis poses a significant challenge for individuals afflicted with peripheral artery diseases, often leading to considerable morbidity and necessitating repeated interventions. The primary culprit behind the pathogenesis of restenosis is intimal hyperplasia (IH), in which the hyperproliferative and migratory vascular smooth muscle cell (VSMC) accumulate excessively in the tunica intima. 6-Phosphogluconate dehydrogenase (6PGD), sometimes referred to as PGD, is one of the critical enzymes in pentose phosphate pathway (PPP).

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Analysis of Circadian Clock Gene Expression in Human Skin Explants.

JID Innov

November 2024

Department of Pharmacology & Toxicology, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA.

Many aspects of skin biochemistry and physiology are known to vary over the course of the 24-hour day. Traditional approaches to study circadian rhythms in the skin have employed rodents or human subjects, which limit the experimental variables that can be studied. Although explants derived from discarded surgical skin are a commonly used model in the skin biology field, circadian rhythms have yet to be examined ex vivo.

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Sexual Dimorphism in the Musculoskeletal System: Sex Hormones and Beyond.

J Endocr Soc

August 2024

Department of Anatomy, Cell Biology & Physiology, Indiana University School of Medicine, Indianapolis, IN 46202-5120, USA.

Mounting evidence indicates that whereas some fundamental aspects of bone cell differentiation and function are similar in females and males, there is a clear contribution of sex/gender on the effects of signaling molecules on bone mass and strength and, consequently, on the effects of pharmacologic approaches to treat skeletal disorders. However, until recently, most studies were designed and performed using only 1 sex, resulting in a scarcity of published information on sexual dimorphism of the musculoskeletal system, including the mandible/masticatory muscles and the axial and appendicular bones and skeletal muscles. Further, it is now recognized that scientific rigor requires the study of both males and females.

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A novel computational pathology approach for identifying gene signatures prognostic of disease-free survival for papillary thyroid carcinomas.

Eur J Cancer

November 2024

Wallace H. Coulter Dept. of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, United States; Atlanta Veterans Administration Medical Center, GA, United States. Electronic address:

Introduction: Papillary thyroid carcinoma (PTC) is the most prevalent form of thyroid cancer, with the classical and follicular variants representing most cases. Despite generally favorable prognoses, approximately 10% of patients experience recurrence post-surgery and radioactive iodine therapy. Attempts to stratify risk of recurrence have relied on gene expression-based prognostic and predictive signatures with a focus on mutations of well-known driver genes, while hallmarks of tumor morphology have been ignored.

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Purpose: Utilization of clinical pharmacists providing comprehensive medication management (CMM) has been shown to improve the quadruple aim of healthcare. Lack of fidelity surrounding CMM practice standardization components has led to heterogeneity in interpretation of clinical pharmacist outcomes. We compared 2 Veterans Health Administration (VHA) facilities with the patient-aligned care team (PACT) Platinum Practice designation in terms of clinical pharmacist practitioner (CPP) access and care quality relative to national CPP averages.

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Bile acid (BA) signaling dysregulation is an important etiology for the development of metabolic dysfunction-associated steatotic liver disease (MASLD). As diverse signaling molecules synthesized in the liver by pathways initiated with CYP7A1 and CYP27A1, BAs are endogenous modulators of farnesoid x receptor (FXR). FXR activation is crucial in maintaining BA homeostasis, regulating lipid metabolism, and suppressing inflammation.

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  • - Type 1 diabetes (T1D) is caused by autoimmune destruction of insulin-producing β-cells, with macrophages playing a key role in this process through lipid signaling.
  • - Reducing myeloid-iPLA2β in NOD mice leads to less inflammation, encourages a shift to anti-inflammatory macrophages, and decreases T-cell activation, which is linked to lower T1D rates.
  • - Targeting iPLA2β in macrophages presents a promising strategy to slow down or prevent the onset of T1D by modulating inflammatory responses.
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  • Psoriasis is a chronic disease that has seen significant treatment advancements through biologic medications, but their high costs limit access for many patients.
  • Biosimilars, created using reverse engineering once original drug patents expire, offer a cost-effective alternative that can help increase access to biologic treatments.
  • In 2023, the Veterans Health Administration saved over $67 million using biosimilars and stands to save even more with future options, but more education is needed for patients and healthcare providers to promote their use.
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Epidemiology and risk factors for the development of cicatrizing conjunctivitis in chronic ocular graft-versus-host disease.

Ocul Surf

October 2024

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, FL, 33136, USA; Surgical and Research Services, Miami Veterans Administration Medical Center, 1201 NW 16th St, Miami, FL, 33125, USA. Electronic address:

Article Synopsis
  • The study aimed to assess how common chronic cicatrizing conjunctivitis (CCC) is in patients with chronic ocular graft-vs-host disease (coGVHD) after stem cell transplants, while identifying risk factors associated with it.
  • Researchers conducted a review of medical records from patients diagnosed with coGVHD at the Bascom Palmer Eye Institute from 2010 to 2021, analyzing various factors over time to determine CCC incidence using statistical methods.
  • Among 167 participants, about 39% developed signs of CCC 5 years after transplant, with younger patients (under 50) being at a higher risk of developing the condition.*
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  • - Horse bites are frequent non-fatal injuries in the U.S., often leading to infections caused by bacteria from horses' mouths.
  • - A case is presented involving a 25-year-old woman who suffered a horse bite that became infected with a unique Gram-negative, non-pigmented anaerobic bacteria.
  • - The text covers the epidemiology (how often it happens), the types of bacteria involved, and how to manage horse bite injuries.
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  • Vertebrate sexual dimorphism, traditionally linked to the type of gonads (testes or ovaries) and their hormone production, is now shown to also be influenced by sex chromosomes (XX or XY).
  • Using the Four-Core Genotypes (FCG) mouse model, the study reveals that both gonads and sex chromosomes affect the musculoskeletal system's development, with notable differences becoming more pronounced in older mice.
  • Findings indicate that while gonadal sex plays a significant role in musculoskeletal traits, sex chromosomes contribute meaningfully to differences in body composition and bone strength, particularly as the mice mature.
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Importance: Increasing numbers of unaffected individuals could benefit from genetic evaluation for inherited cancer susceptibility. Automated conversational agents (ie, chatbots) are being developed for cancer genetics contexts; however, randomized comparisons with standard of care (SOC) are needed.

Objective: To examine whether chatbot and SOC approaches are equivalent in completion of pretest cancer genetic services and genetic testing.

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Lysophosphatidic Acid Signaling in the Gastrointestinal System.

Cell Mol Gastroenterol Hepatol

November 2024

Division of Digestive Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.

The intestinal epithelium undergoes continuous homeostatic renewal to conduct the digestion and absorption of nutrients. At the same time, the intestinal epithelial barrier separates the host from the intestinal lumen, preventing systemic infection from enteric pathogens. To maintain homeostasis and epithelial functionality, stem cells, which reside in the base of intestinal crypts, generate progenitor cells that ultimately differentiate to produce an array of secretory and absorptive cells.

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  • Genetic studies have highlighted the need for more diverse research on plasma fibrinogen levels, as previous studies largely focused on Europeans, leading to gaps in understanding and missing heritability.
  • By analyzing data from whole-genome sequencing and genotype data from large cohorts, researchers identified 18 genetic loci related to fibrinogen levels, some of which are more common in African populations and include variants that may impact protein function.
  • The study's findings indicate a connection between fibrinogen levels and various health conditions, emphasizing the importance of whole-genome sequencing in discovering genetic factors in diverse populations and enhancing knowledge about fibrinogen regulation.
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Early versus Delayed Timing of Primary Repair after Open-Globe Injury: A Systematic Review and Meta-analysis.

Ophthalmology

August 2024

Neuroscience and Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom; Ophthalmology Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom; Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, United Kingdom. Electronic address:

Article Synopsis
  • * Timely surgical intervention is crucial to reduce the risk of serious complications like endophthalmitis, which can affect visual outcomes.
  • * A review of 15 studies showed that repairs done within 24 hours significantly lowered the odds of endophthalmitis, but visual outcomes were similar regardless of repair timing.
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