keyword
https://read.qxmd.com/read/38609084/storylines-of-family-medicine-ii-foundational-building-blocks-context-community-and-health
#1
JOURNAL ARTICLE
William B Ventres, Leslie A Stone, Rupal Shah, Tamala Carter, Geoffrey M Gusoff, Winston Liaw, Bich-May Nguyen, Joanna V Rachelson, Mary Alice Scott, Teresa L Schiff-Elfalan, Seiji Yamada, Robert C Like, Kathleen Zoppi, A Peter Catinella, Richard M Frankel, Shailendra Prasad
Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'II: foundational building blocks-context, community and health', authors address the following themes: 'Context-grounding family medicine in time, place and being', 'Recentring community', 'Community-oriented primary care', 'Embeddedness in practice', 'The meaning of health', 'Disease, illness and sickness-core concepts', 'The biopsychosocial model', 'The biopsychosocial approach' and 'Family medicine as social medicine...
April 12, 2024: Family Medicine and Community Health
https://read.qxmd.com/read/38483366/five-year-longitudinal-follow-up-of-restorative-neurostimulation-shows-durability-of-effectiveness-in-patients-with-refractory-chronic-low-back-pain-associated-with-multifidus-muscle-dysfunction
#2
JOURNAL ARTICLE
Christopher Gilligan, Willem Volschenk, Marc Russo, Matthew Green, Christopher Gilmore, Vivek Mehta, Kristiaan Deckers, Kris De Smedt, Usman Latif, Dawood Sayed, Peter Georgius, Jonathan Gentile, Bruce Mitchell, Meredith Langhorst, Frank Huygen, Ganesan Baranidharan, Vikas Patel, Eugene Mironer, Edgar Ross, Alexios Carayannopoulos, Salim Hayek, Ashish Gulve, Jean-Pierre Van Buyten, Antoine Tohmeh, Jeffrey Fischgrund, Shivanand Lad, Farshad Ahadian, Timothy Deer, William Klemme, Richard Rauck, James Rathmell, Greg Maislin, Jan Pieter Heemels, Sam Eldabe
BACKGROUND: Adults with refractory, mechanical chronic low back pain associated with impaired neuromuscular control of the lumbar multifidus muscle have few treatment options that provide long-term clinical benefit. This study hypothesized that restorative neurostimulation, a rehabilitative treatment that activates the lumbar multifidus muscles to overcome underlying dysfunction, is safe and provides relevant and durable clinical benefit to patients with this specific etiology. MATERIALS AND METHODS: In this prospective five-year longitudinal follow-up of the ReActiv8-B pivotal trial, participants (N = 204) had activity-limiting, moderate-to-severe, refractory, mechanical chronic low back pain, a positive prone instability test result indicating impaired multifidus muscle control, and no indications for spine surgery...
March 11, 2024: Neuromodulation: Journal of the International Neuromodulation Society
https://read.qxmd.com/read/38411286/patterns-of-subregional-cerebellar-atrophy-across-epilepsy-syndromes-an-enigma-epilepsy-study
#3
JOURNAL ARTICLE
Rebecca Kerestes, Andrew Perry, Lucy Vivash, Terence J O'Brien, Marina K M Alvim, Donatello Arienzo, Ítalo K Aventurato, Alice Ballerini, Gabriel F Baltazar, Núria Bargalló, Benjamin Bender, Ricardo Brioschi, Eva Bürkle, Maria Eugenia Caligiuri, Fernando Cendes, Jane de Tisi, John S Duncan, Jerome P Engel, Sonya Foley, Francesco Fortunato, Antonio Gambardella, Thea Giacomini, Renzo Guerrini, Gerard Hall, Khalid Hamandi, Victoria Ives-Deliperi, Rafael B João, Simon S Keller, Benedict Kleiser, Angelo Labate, Matteo Lenge, Cassandra Marotta, Pascal Martin, Mario Mascalchi, Stefano Meletti, Conor Owens-Walton, Costanza B Parodi, Saül Pascual-Diaz, David Powell, Jun Rao, Michael Rebsamen, Johannes Reiter, Antonella Riva, Theodor Rüber, Christian Rummel, Freda Scheffler, Mariasavina Severino, Lucas S Silva, Richard J Staba, Dan J Stein, Pasquale Striano, Peter N Taylor, Sophia I Thomopoulos, Paul M Thompson, Domenico Tortora, Anna Elisabetta Vaudano, Bernd Weber, Roland Wiest, Gavin P Winston, Clarissa L Yasuda, Hong Zheng, Carrie R McDonald, Sanjay M Sisodiya, Ian H Harding
OBJECTIVE: The intricate neuroanatomical structure of the cerebellum is of longstanding interest in epilepsy, but has been poorly characterized within the current corticocentric models of this disease. We quantified cross-sectional regional cerebellar lobule volumes using structural magnetic resonance imaging in 1602 adults with epilepsy and 1022 healthy controls across 22 sites from the global ENIGMA-Epilepsy working group. METHODS: A state-of-the-art deep learning-based approach was employed that parcellates the cerebellum into 28 neuroanatomical subregions...
February 27, 2024: Epilepsia
https://read.qxmd.com/read/38380940/regional-practice-variation-and-outcomes-in-the-standard-versus-accelerated-initiation-of-renal-replacement-therapy-in-acute-kidney-injury-starrt-aki-trial-a-post-hoc-secondary-analysis
#4
JOURNAL ARTICLE
Suvi T Vaara, Ary Serpa Neto, Rinaldo Bellomo, Neill K J Adhikari, Didier Dreyfuss, Martin Gallagher, Stephane Gaudry, Eric Hoste, Michael Joannidis, Ville Pettilä, Amanda Y Wang, Kianoush Kashani, Ron Wald, Sean M Bagshaw, Marlies Ostermann
OBJECTIVES: Among patients with severe acute kidney injury (AKI) admitted to the ICU in high-income countries, regional practice variations for fluid balance (FB) management, timing, and choice of renal replacement therapy (RRT) modality may be significant. DESIGN: Secondary post hoc analysis of the STandard vs. Accelerated initiation of Renal Replacement Therapy in Acute Kidney Injury (STARRT-AKI) trial (ClinicalTrials.gov number NCT02568722). SETTING: One hundred-fifty-three ICUs in 13 countries...
February 2024: Critical care explorations
https://read.qxmd.com/read/38255007/from-churchill-to-elephants-the-role-of-protective-genes-against-cancer
#5
REVIEW
Annalisa Gazzellone, Eugenio Sangiorgi
Richard Peto's paradox, first described in 1975 from an epidemiological perspective, established an inverse correlation between the probability of developing cancer in multicellular organisms and the number of cells. Larger animals exhibit fewer tumors compared to smaller ones, though exceptions exist. Mice are more susceptible to cancer than humans, while elephants and whales demonstrate significantly lower cancer prevalence rates than humans. How nature and evolution have addressed the issue of cancer in the animal kingdom remains largely unexplored...
January 18, 2024: Genes
https://read.qxmd.com/read/38133591/predictors-of-mortality-among-children-and-adolescents-living-with-hiv-on-antiretroviral-therapy-in-western-kenya
#6
JOURNAL ARTICLE
Winstone Nyandiko, Njie Albertine Enjema, Richard Mugo, Edith Apondi, Edwin Sang, Ann Mwangi
BACKGROUND: Antiretroviral therapy (ART) has decreased HIV-attributable deaths; however, children and adolescents continue to have high HIV-associated mortality. SETTING: We determined the predictors of death among children and young adolescents living with HIV (CALWH) who died while in care in Western Kenya. METHODS: This retrospective case-control study used electronically abstracted data of 6234 CALWH who received care in Academic Model Providing Access to Healthcare (AMPATH) HIV clinics in Western Kenya between January 2002 and November 2022...
December 15, 2023: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://read.qxmd.com/read/37978573/interplay-of-gut-microbiota-and-host-epithelial-mitochondrial-dysfunction-is-necessary-for-the-development-of-spontaneous-intestinal-inflammation-in-mice
#7
JOURNAL ARTICLE
Kibrom M Alula, Alexander S Dowdell, Brittany LeBere, J Scott Lee, Cassandra L Levens, Kristine A Kuhn, Benny A Kaipparettu, Winston E Thompson, Richard S Blumberg, Sean P Colgan, Arianne L Theiss
BACKGROUND: Intestinal epithelial cell (IEC) mitochondrial dysfunction involvement in inflammatory bowel diseases (IBD), including Crohn's disease affecting the small intestine, is emerging in recent studies. As the interface between the self and the gut microbiota, IECs serve as hubs of bidirectional cross-talk between host and luminal microbiota. However, the role of mitochondrial-microbiota interaction in the ileum is largely unexplored. Prohibitin 1 (PHB1), a chaperone protein of the inner mitochondrial membrane required for optimal electron transport chain function, is decreased during IBD...
November 17, 2023: Microbiome
https://read.qxmd.com/read/37961570/patterns-of-subregional-cerebellar-atrophy-across-epilepsy-syndromes-an-enigma-epilepsy-study
#8
Rebecca Kerestes, Andrew Perry, Lucy Vivash, Terence J O'Brien, Marina K M Alvim, Donatello Arienzo, Ítalo K Aventurato, Alice Ballerini, Gabriel F Baltazar, Núria Bargalló, Benjamin Bender, Ricardo Brioschi, Eva Bürkle, Maria Eugenia Caligiuri, Fernando Cendes, Jane de Tisi, John S Duncan, Jerome P Engel, Sonya Foley, Francesco Fortunato, Antonio Gambardella, Thea Giacomini, Renzo Guerrini, Gerard Hall, Khalid Hamandi, Victoria Ives-Deliperi, Rafael B João, Simon S Keller, Benedict Kleiser, Angelo Labate, Matteo Lenge, Cassandra Marotta, Pascal Martin, Mario Mascalchi, Stefano Meletti, Conor Owens-Walton, Costanza B Parodi, Saül Pascual-Diaz, David Powell, Jun Rao, Michael Rebsamen, Johannes Reiter, Antonella Riva, Theodor Rüber, Christian Rummel, Freda Scheffler, Mariasavina Severino, Lucas S Silva, Richard J Staba, Dan J Stein, Pasquale Striano, Peter N Taylor, Sophia I Thomopoulos, Paul M Thompson, Domenico Tortora, Anna Elisabetta Vaudano, Bernd Weber, Roland Wiest, Gavin P Winston, Clarissa L Yasuda, Hong Zheng, Carrie R McDonald, Sanjay M Sisodiya, Ian H Harding
OBJECTIVE: The intricate neuroanatomical structure of the cerebellum is of longstanding interest in epilepsy, but has been poorly characterized within the current cortico-centric models of this disease. We quantified cross-sectional regional cerebellar lobule volumes using structural MRI in 1,602 adults with epilepsy and 1,022 healthy controls across twenty-two sites from the global ENIGMA-Epilepsy working group. METHODS: A state-of-the-art deep learning-based approach was employed that parcellates the cerebellum into 28 neuroanatomical subregions...
October 23, 2023: bioRxiv
https://read.qxmd.com/read/37924812/gasdermin-d-permeabilization-of-mitochondrial-inner-and-outer-membranes-accelerates-and-enhances-pyroptosis
#9
JOURNAL ARTICLE
Rui Miao, Cong Jiang, Winston Y Chang, Haiwei Zhang, Jinsu An, Felicia Ho, Pengcheng Chen, Han Zhang, Caroline Junqueira, Dulguun Amgalan, Felix G Liang, Junbing Zhang, Charles L Evavold, Iva Hafner-Bratkovič, Zhibin Zhang, Pietro Fontana, Shiyu Xia, Markus Waldeck-Weiermair, Youdong Pan, Thomas Michel, Liron Bar-Peled, Hao Wu, Jonathan C Kagan, Richard N Kitsis, Peng Zhang, Xing Liu, Judy Lieberman
Gasdermin D (GSDMD)-activated inflammatory cell death (pyroptosis) causes mitochondrial damage, but its underlying mechanism and functional consequences are largely unknown. Here, we show that the N-terminal pore-forming GSDMD fragment (GSDMD-NT) rapidly damaged both inner and outer mitochondrial membranes (OMMs) leading to reduced mitochondrial numbers, mitophagy, ROS, loss of transmembrane potential, attenuated oxidative phosphorylation (OXPHOS), and release of mitochondrial proteins and DNA from the matrix and intermembrane space...
November 14, 2023: Immunity
https://read.qxmd.com/read/37849297/complete-traumatic-transection-of-the-suprahepatic-ivc-full-recovery-without-bypass
#10
JOURNAL ARTICLE
Aidan Charles, Gregory McClain, Winston Richards, Darwin Ang
No abstract text is available yet for this article.
October 18, 2023: American Surgeon
https://read.qxmd.com/read/37732252/-kat2-paralogs-prevent-dsrna-accumulation-and-interferon-signaling-to-maintain-intestinal-stem-cells
#11
Mai-Uyen Nguyen, Sarah Potgieter, Winston Huang, Julie Pfeffer, Sean Woo, Caifeng Zhao, Matthew Lawlor, Richard Yang, Angela Halstead, Sharon Dent, José B Sáenz, Haiyan Zheng, Zuo-Fei Yuan, Simone Sidoli, Christopher E Ellison, Michael Verzi
Histone acetyltransferases KAT2A and KAT2B are paralogs highly expressed in the intestinal epithelium, but their functions are not well understood. In this study, double knockout of murine Kat2 genes in the intestinal epithelium was lethal, resulting in robust activation of interferon signaling and interferon-associated phenotypes including the loss of intestinal stem cells. Use of pharmacological agents and sterile organoid cultures indicated a cell-intrinsic double-stranded RNA trigger for interferon signaling...
September 5, 2023: bioRxiv
https://read.qxmd.com/read/37694592/the-where-who-and-how-of-adrenal-vein-sampling-in-australia-and-new-zealand
#12
JOURNAL ARTICLE
Elisabeth Ng, Winston Chong, Kenneth K Lau, Stella May Gwini, Richard W Carroll, James Cg Doery, Peter J Fuller, Jun Yang
INTRODUCTION: Primary aldosteronism (PA) causes 10-15% of cases of hypertension, and it is increasingly recognised as being under-diagnosed. An interventional radiology procedure, adrenal vein sampling (AVS), is a necessary and important diagnostic procedure for complete workup of PA. There is an anticipated increase in demand for AVS as detection of PA improves. This study aims to describe the current landscape of AVS in Australia and New Zealand (NZ). METHODS: Two surveys exploring AVS methodology and performance were conducted of (i) Endocrinology Unit Heads and (ii) interventional radiologists who perform AVS, at public hospitals with Endocrinology Units across Australia and NZ...
September 11, 2023: Journal of Medical Imaging and Radiation Oncology
https://read.qxmd.com/read/37670375/hepatic-steatosis-in-people-older-and-younger-than-fifty-who-are-living-with-hiv-and-hiv-negative-controls-a-cross-sectional-study-nested-within-the-poppy-cohort
#13
JOURNAL ARTICLE
Alejandro Arenas-Pinto, Nicholas Bakewell, Ana Milinkovic, Ian Williams, Jaime Vera, Frank A Post, Jane Anderson, Michelle Beynon, Alastair O'Brien, Nicki Doyle, Richard Gilson, Sarah L Pett, Alan Winston, Caroline A Sabin
BACKGROUND: Hepatic steatosis is a major cause of chronic liver disease associated with several negative health outcomes. We compared the prevalence of and factors associated with steatosis in people living with and without HIV. METHODS: Older (>50 years) and younger (<50 years) people with HIV and older HIV-negative controls (>50 years) underwent liver transient elastography examination with controlled attenuation parameter (steatosis ≥238 dB/m, moderate/severe steatosis ≥280 dB/m, liver fibrosis ≥7...
September 5, 2023: HIV Medicine
https://read.qxmd.com/read/37468633/p53-governs-an-at1-differentiation-programme-in-lung-cancer-suppression
#14
JOURNAL ARTICLE
Alyssa M Kaiser, Alberto Gatto, Kathryn J Hanson, Richard L Zhao, Nitin Raj, Michael G Ozawa, José A Seoane, Kathryn T Bieging-Rolett, Mengxiong Wang, Irene Li, Winston L Trope, Douglas Z Liou, Joseph B Shrager, Sylvia K Plevritis, Aaron M Newman, Capucine Van Rechem, Laura D Attardi
Lung cancer is the leading cause of cancer deaths worldwide1 . Mutations in the tumour suppressor gene TP53 occur in 50% of lung adenocarcinomas (LUADs) and are linked to poor prognosis1-4 , but how p53 suppresses LUAD development remains enigmatic. We show here that p53 suppresses LUAD by governing cell state, specifically by promoting alveolar type 1 (AT1) differentiation. Using mice that express oncogenic Kras and null, wild-type or hypermorphic Trp53 alleles in alveolar type 2 (AT2) cells, we observed graded effects of p53 on LUAD initiation and progression...
July 2023: Nature
https://read.qxmd.com/read/37451833/fetal-alcohol-syndrome-in-the-uk
#15
JOURNAL ARTICLE
Charlotte Rebecca Burleigh, Richard Lynn, Chris Verity, Anne Marie Winstone, Simon R White, Kathryn Johnson
OBJECTIVE: To determine the incidence of fetal alcohol syndrome (FAS) in the UK in children aged 0-16 years. DESIGN: Active surveillance was undertaken through the British Paediatric Surveillance Unit between October 2018 and October 2019 inclusive. Data were collected from reporting clinicians using standardised questionnaires. PATIENTS: Children aged 0-16 years in the UK and Ireland with a diagnosis of FAS seen in the previous month. This study did not include children with fetal alcohol spectrum disorder...
July 14, 2023: Archives of Disease in Childhood
https://read.qxmd.com/read/37311873/cognitive-impairment-in-people-living-with-hiv-consensus-recommendations-for-a-new-approach
#16
REVIEW
Sam Nightingale, Beau Ances, Paola Cinque, Ameet Dravid, Anna J Dreyer, Magnus Gisslén, John A Joska, Judith Kwasa, Ana-Claire Meyer, Nombeko Mpongo, Noeline Nakasujja, Roger Pebody, Anton Pozniak, Richard W Price, Christopher Sandford, Deanna Saylor, Kevin G F Thomas, Jonathan Underwood, Jaime H Vera, Alan Winston
Current approaches to classifying cognitive impairment in people living with HIV can overestimate disease burden and lead to ambiguity around disease mechanisms. The 2007 criteria for HIV-associated neurocognitive disorders (HAND), sometimes called the Frascati criteria, can falsely classify over 20% of cognitively healthy individuals as having cognitive impairment. Minimum criteria for HAND are met on the basis of performance on cognitive tests alone, which might not be appropriate for populations with diverse educational and socioeconomic backgrounds...
July 2023: Nature Reviews. Neurology
https://read.qxmd.com/read/37255724/safe-and-effective-implantation-and-use-of-vagal-nerve-stimulation-in-new-onset-refractory-status-epilepticus-in-early-pregnancy-a-case-report
#17
Malaika Jindal, Laura Delaj, Joel Winston, Rishu Goel, Sadia Bhatti, Milena Angelova-Chee, Richard Selway, Laura Mantoan Ritter
INTRODUCTION: The management of new-onset refractory status epilepticus (NORSE) in pregnancy may be complicated by anti-seizure medication (ASM) polytherapy-associated teratogenicity. We aim to demonstrate the safety and efficacy of vagal nerve stimulation (VNS) in a pregnant patient presenting with NORSE. CASE DESCRIPTION: A 30-year old female, at 5-weeks' gestation presented with drug-refractory myoclonic status epilepticus, responsive only to high levels of anesthetic agents...
2023: Frontiers in Neurology
https://read.qxmd.com/read/37141293/dental-size-variation-in-admixed-latin-americans-effects-of-age-sex-and-genomic-ancestry
#18
JOURNAL ARTICLE
Guangrui Yang, Yingjie Chen, Qing Li, Daniel Benítez, Luis Miguel Ramírez, Macarena Fuentes-Guajardo, Tsunehiko Hanihara, G Richard Scott, Victor Acuña Alonzo, Rolando Gonzalez Jose, Maria Catira Bortolini, Giovanni Poletti, Carla Gallo, Francisco Rothhammer, Winston Rojas, Clément Zanolli, Kaustubh Adhikari, Andres Ruiz-Linares, Miguel Delgado
Dental size variation in modern humans has been assessed from regional to worldwide scales, especially under microevolutionary and forensic contexts. Despite this, populations of mixed continental ancestry such as contemporary Latin Americans remain unexplored. In the present study we investigated a large Latin American sample from Colombia (N = 804) and obtained buccolingual and mesiodistal diameters and three indices for maxillary and mandibular teeth (except third molars). We evaluated the correlation between 28 dental measurements (and three indices) with age, sex and genomic ancestry (estimated using genome-wide SNP data)...
2023: PloS One
https://read.qxmd.com/read/37059628/the-spatial-accuracy-of-ring-mounted-halcyon-linac-versus-c-arm-truebeam-linac-for-single-isocenter-multi-target-sbrt-treatment
#19
JOURNAL ARTICLE
Damodar Pokhrel, Richard Mallory, Mark E Bernard
Stereotactic body radiotherapy (SBRT) treatment of oligometastatic lesions via single-isocenter/multi-target (SIMT) plan is more efficient than using multi-isocenter/multitarget SBRT. This study quantifies the spatial positioning accuracy of 2 commercially available LINAC systems for SIMT treatment pertaining to the potential amplification of error as a function of the target's distance-to-isocenter. We compare the Ring-Gantry Halcyon LINAC equipped with the fast iterative conebeam-CT (iCBCT) for image-guided SIMT treatment, and the SBRT-dedicated C-Arm TrueBeam with standard pretreatment CBCT imaging...
April 12, 2023: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://read.qxmd.com/read/36924119/dynamic-assessment-of-serum-chromogranin-a-and-treatment-response-with-abiraterone-acetate-in-metastatic-castration-resistant-prostate-cancer
#20
JOURNAL ARTICLE
Akeem R Lewis, Brian A Costello, Fernando Quevedo, Lance C Pagliaro, Cristobal Sanhueza, Richard M Weinshilboum, Krishna R Kalari, Liewei Wang, Manish Kohli, Winston Tan, Karthik V Giridhar
OBJECTIVE: Elevated serum chromogranin A (CGA) is associated with intrinsic or treatment-related neuroendocrine differentiation (NED) in men with metastatic castration-resistant prostate cancer (mCRPC). Fluctuations in serum CGA during treatment of mCRPC have had conflicting results. We analyzed the impact of (i) rising serum CGA and (ii) baseline CGA/PSA ratio during treatment to identify associations with abiraterone acetate (AA) therapy. METHODS: Between June 2013 and August 2015, 92 men with mCRPC were enrolled in a prospective trial with uniform serum CGA processing performed before initiating abiraterone acetate/prednisone (AA/P) and serially after 12 weeks of AA/P treatments...
March 16, 2023: Prostate
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