keyword
https://read.qxmd.com/read/38648830/audiometry-interpretation-for-hearing-loss-in-adults
#21
JOURNAL ARTICLE
Mandi Sehgal, Alexandra Sellers, Wendy S Biggs
Hearing loss is a prevalent, chronic condition in the United States; it is often gradual and progressive and is underreported by patients and undertreated by physicians. The impaired ability to effectively hear and communicate may result in negative emotional, cognitive, economic, and social consequences for individuals and may pose a safety risk. Questionnaires and smartphone apps are available to help identify and evaluate self-perceived hearing loss. Physicians should assess for objective hearing impairment when the patient or family member raises a concern or if cognitive or mood symptoms are present that could be influenced by hearing loss...
April 2024: American Family Physician
https://read.qxmd.com/read/38648708/-e-managing-the-uncertainty-of-tuberculosis-in-the-post-soviet-limbo-tracking-prisoners-coerced-mobility-for-treatment-in-ukrainian-prisons
#22
JOURNAL ARTICLE
Alexandra Dmitrieva, Vladimir Stepanov, Ivan Titar
The collapse of the Soviet Union triggered an escalation of the tuberculosis (TB) epidemic in many post-Soviet countries, including Ukraine. The main reasons for this situation include both the approach to TB care and the concentration of TB cases in prisons. The neoliberal approach to TB care system reform promises the optimization of treatment terms, "dehospitalization" and "despecialization" of the system of care, and a different type of control, established through digital technologies. One such technology is the "e-TB Manager", which was designated as a national TB registry, including in the prison system in 2012...
April 16, 2024: Social Science & Medicine
https://read.qxmd.com/read/38648655/2024-canadian-urological-association-guideline-female-stress-urinary-incontinence
#23
JOURNAL ARTICLE
Kevin Carlson, Matthew Andrews, Alexandra Bascom, Richard Baverstock, Lysanne Campeau, Chantale Dumoulin, Joe Labossiere, Jennifer Locke, Geneviève Nadeau, Blayne Welk, Ashley Cox, Laura Nguyen
No abstract text is available yet for this article.
April 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38648647/clinical-practice-guidelines-for-diagnostic-and-treatment-of-the-chronic-heart-failure
#24
JOURNAL ARTICLE
Abel A Pavía-López, José A Magaña-Serrano, José A Cigarroa-López, Adolfo Chávez-Mendoza, José L Mayorga-Butrón, Diego Araiza-Garaygordobil, Juan B Ivey-Miranda, Gustavo F Méndez-Machado, Héctor González-Godínez, Luisa F Aguilera-Mora, Antonio Jordán-Ríos, Luis Olmos-Domínguez, Marcos J Olalde-Román, Emma M Miranda-Malpica, Zuilma Vázquez-Ortiz, Jorge Rayo-Chávez, Alexandra A Mendoza, Manlio F Márquez-Murillo, Sergio A Chávez-Leal, Amada Álvarez-San Gabriel, Marissa A Silva-García, Alex D Pacheco-Bouthiller, Jorge A Aldrete-Velazco, Carlos A Guizar-Sánchez, Efraín Gaxiola-López, Arturo Guerra-López, Lourdes Figueiras-Graillet, Gustavo Sánchez-Miranda, Genaro H Mendoza-Zavala, Moisés Aceves-García, Adolfo Chávez-Negrete, Marisol Arroyo-Hernández, Bertha B Montaño-Velázquez, Luis F Romero-Moreno, María M Baquero-Hoyos, Liliana Velasco-Hidalgo, Ana L Rodríguez-Lozano, Nancy E Aguilar-Gómez, Mario Rodríguez-Vega, Jorge E Cossío-Aranda
Chronic heart failure continues to be one of the main causes of impairment in the functioning and quality of life of people who suffer from it, as well as one of the main causes of mortality in our country and around the world. Mexico has a high prevalence of risk factors for developing heart failure, such as high blood pressure, diabetes, and obesity, which makes it essential to have an evidence-based document that provides recommendations to health professionals involved in the diagnosis and treatment of these patients...
2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38648373/inhibiting-the-cgas-sting-pathway-in-ulcerative-colitis-with-programmable-micelles
#25
JOURNAL ARTICLE
Saji Uthaman, Shadi Parvinroo, Ansuja Pulickal Mathew, Xinglin Jia, Belen Hernandez, Alexandra Proctor, Karuna Anna Sajeevan, Ariel Nenninger, Mary-Jane Long, In-Kyu Park, Ratul Chowdhury, Gregory J Phillips, Michael J Wannemuehler, Rizia Bardhan
Ulcerative colitis is a chronic condition in which a dysregulated immune response contributes to the acute intestinal inflammation of the colon. Current clinical therapies often exhibit limited efficacy and undesirable side effects. Here, programmable nanomicelles were designed for colitis treatment and loaded with RU.521, an inhibitor of the cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING) pathway. STING-inhibiting micelles (SIMs) comprise hyaluronic acid-stearic acid conjugates and include a reactive oxygen species (ROS)-responsive thioketal linker...
April 22, 2024: ACS Nano
https://read.qxmd.com/read/38648293/signs-sources-coping-strategies-and-suggested-interventions-for-burnout-among-preclerkship-students-at-a-u-s-medical-school-a-qualitative-focus-group-study
#26
JOURNAL ARTICLE
Valeria D Melo, Hiba Saifuddin, Lillian T Peng, Alexandra P Wolanskyj-Spinner, Ariela L Marshall, Andrea N Leep Hunderfund
PURPOSE: Research suggests that burnout can begin early in medical school, yet burnout among preclerkship students remains underexplored. This study aimed to characterize burnout signs, sources, coping strategies, and potential interventions among preclerkship students at one U.S. medical school. METHOD: The authors conducted a qualitative study of preclerkship students at Mayo Clinic Alix School of Medicine (MCASOM) during June 2019. Participants completed 2 Maslach Burnout Inventory (MBI) items (measuring frequency of emotional exhaustion and depersonalization) and 2 free-text questions on burnout before participating in 1 of 3 semistructured focus groups...
April 22, 2024: Academic Medicine
https://read.qxmd.com/read/38647979/ros-formation-mitochondrial-potential-and-osmotic-stability-of-the-lamprey-red-blood-cells-effect-of-adrenergic-stimulation-and-hypoosmotic-stress
#27
JOURNAL ARTICLE
Elina S Chelebieva, Ekaterina S Kladchenko, Igor V Mindukshev, Stepan Gambaryan, Alexandra Yu Andreyeva
Semi-anadromous animals experience salinity fluctuations during their life-span period. Alterations of environmental conditions induce stress response where catecholamines (CA) play a central role. Physiological stress and changes in external and internal osmolarity are frequently associated with increased production of reactive oxygen species (ROS). In this work, we studied the involvement of the cAMP/PKA pathway in mediating catecholamine-dependent effects on osmoregulatory responses, intracellular production of ROS, and mitochondrial membrane potential of the river lamprey (Lampetra fluviatilis, Linnaeus, 1758) red blood cells (RBCs)...
April 22, 2024: Fish Physiology and Biochemistry
https://read.qxmd.com/read/38647374/where-are-we-with-exercise-for-autonomic-dysreflexia-and-orthostatic-hypotension
#28
JOURNAL ARTICLE
Fei Zhao, Alexandra E Soltesz, Jacob A Goldsmith, Jill M Wecht, Gino S Panza
No abstract text is available yet for this article.
April 22, 2024: Journal of Spinal Cord Medicine
https://read.qxmd.com/read/38647113/two-year-impact-of-highly-effective-modulator-therapy-on-olfactory-dysfunction
#29
JOURNAL ARTICLE
Jessa E Miller, Eugene Oh, Aastha Khatiwada, Stephen M Humphries, Alexandra Wilson, Eszter K Vladar, David A Lynch, Jennifer L Taylor-Cousar, Daniel M Beswick
No abstract text is available yet for this article.
April 22, 2024: Laryngoscope
https://read.qxmd.com/read/38647011/treatment-patterns-and-clinical-outcomes-in-metastatic-urothelial-carcinoma-a-german-retrospective-real-world-analysis
#30
JOURNAL ARTICLE
Günter Niegisch, Marc-Oliver Grimm, Fraence Hardtstock, Julia Krieger, Alexandra Starry, Ulrike Osowski, Silke Guenther, Barthold Deiters, Ulf Maywald, Thomas Wilke, Mairead Kearney
Aim: This study assessed real-world treatment in patients with metastatic urothelial carcinoma (mUC) in Germany. Materials & methods: Patients diagnosed with mUC from 2015 to 2019 were identified in two claims databases: AOK PLUS and GWQ. Results: 3226 patients with mUC were analyzed; 1286 (39.9%) received systemic treatment within 12 months of diagnosis (platinum-based chemotherapy: 64.2%). Factors associated with receiving treatment were: younger age, male sex, less comorbidity and recent diagnosis...
April 22, 2024: Future Oncology
https://read.qxmd.com/read/38646711/dual-wavelength-volumetric-microlithography-for-rapid-production-of-4d-microstructures
#31
JOURNAL ARTICLE
Alexandra Gruzdenko, Dirk J Mulder, Albert P H J Schenning, Jaap M J den Toonder, Michael G Debije
4D microstructured actuators are micro-objects made of stimuli-responsive materials capable of induced shape deformations, with applications ranging from microrobotics to smart micropatterned haptic surfaces. The novel technology dual-wavelength volumetric microlithography (DWVML) realizes rapid printing of high-resolution 3D microstructures and so has the potential to pave the way to feasible manufacturing of 4D microdevices. In this work, DWVML is applied for the first time to printing stimuli-responsive materials, namely, liquid crystal networks (LCNs)...
April 22, 2024: ACS Applied Materials & Interfaces
https://read.qxmd.com/read/38646129/-what-do-they-mean-a-systematic-review-on-the-interpretation-usage-and-acceptability-of-they
#32
Mafalda Batista da Costa, Harriet R Tenenbaum, Alexandra Grandison
The rise of feminist and LGBTQIA+ movements paved the way for many equality reforms. These include language reforms, which facilitate inclusion of multiple groups in society. For example, the shift from the generic "he" to "he or she" and "they" allows for the inclusion of women, transgender, and non-binary individuals in many narratives. For this reason, many institutions worldwide encourage neutral language. It remains unclear how individuals interpret neutral language. One case of neutral language is the pronoun "they," which has been assigned multiple definitions from the 1970s to 2022...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38646100/morphogenetic-theory-of-mental-and-cognitive-disorders-the-role-of-neurotrophic-and-guidance-molecules
#33
REVIEW
Alexandra Primak, Kirill Bozov, Kseniya Rubina, Stalik Dzhauari, Elena Neyfeld, Maria Illarionova, Ekaterina Semina, Dmitriy Sheleg, Vsevolod Tkachuk, Maxim Karagyaur
Mental illness and cognitive disorders represent a serious problem for the modern society. Many studies indicate that mental disorders are polygenic and that impaired brain development may lay the ground for their manifestation. Neural tissue development is a complex and multistage process that involves a large number of distant and contact molecules. In this review, we have considered the key steps of brain morphogenesis, and the major molecule families involved in these process. The review provides many indications of the important contribution of the brain development process and correct functioning of certain genes to human mental health...
2024: Frontiers in Molecular Neuroscience
https://read.qxmd.com/read/38646091/the-german-resuscitation-registry-epidemiological-data-for-out-of-hospital-and-in-hospital-cardiac-arrest
#34
JOURNAL ARTICLE
Jan Wnent, Jan-Thorsten Gräsner, Matthias Fischer, Alexandra Ramshorn-Zimmer, Andreas Bohn, Berthold Bein, Stephan Seewald
INTRODUCTION: The German Resuscitation Registry was started in 2007 and collects data on out-of-hospital as well as in-hospital cardiac arrest and resuscitation. It has collected more than 400.000 datasets till today. METHODS: The German Resuscitation Registry (GRR) is a voluntary quality improvement tool and research tool for out-of-hospital and in-hospital resuscitation as well as in-hospital emergency treatment. It collects data for initial treatment, in-hospital care as well as long-term outcome in an online database...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38645278/an-updated-narrative-review-on-the-role-of-alcohol-among-indigenous-communities
#35
JOURNAL ARTICLE
Ashley B Cole, Susanna V Lopez, Cassidy M Armstrong, Stefanie L Gillson, Nicole Weiss, Alexandra L Blair, Melissa Walls
PURPOSE OF REVIEW: The role of alcohol varies considerably among Indigenous Peoples and is the backdrop of persistent stereotypes despite decades of research. This paper provides an updated narrative review on the alcohol literature among Indigenous communities, highlighting recent studies published since 2017. RECENT FINDINGS: We examined published literature involving alcohol use rates, including abstinence; risk and protective factors; treatment; and recovery, as well as future directions for alcohol prevention and intervention efforts with Indigenous communities...
December 2023: Current Addiction Reports
https://read.qxmd.com/read/38645162/spatiotemporal-binding-of-cyclophilin-a-and-cpsf6-to-capsid-regulates-hiv-1-nuclear-entry-and-integration
#36
Zachary Ingram, Christopher Kline, Alexandra K Hughson, Parmit K Singh, Hannah L Fischer, Gregory A Sowd, Simon C Watkins, Melissa Kane, Alan N Engelman, Zandrea Ambrose
Human immunodeficiency virus type 1 (HIV-1) capsid, which is the target of the antiviral lenacapavir, protects the viral genome and binds multiple host proteins to influence intracellular trafficking, nuclear import, and integration. Previously, we showed that capsid binding to cleavage and polyadenylation specificity factor 6 (CPSF6) in the cytoplasm is competitively inhibited by cyclophilin A (CypA) binding and regulates capsid trafficking, nuclear import, and infection. Here we determined that a capsid mutant with increased CypA binding affinity had significantly reduced nuclear entry and mislocalized integration...
April 9, 2024: bioRxiv
https://read.qxmd.com/read/38645094/-de-novo-variants-in-the-non-coding-spliceosomal-snrna-gene-rnu4-2-are-a-frequent-cause-of-syndromic-neurodevelopmental-disorders
#37
Yuyang Chen, Ruebena Dawes, Hyung Chul Kim, Sarah L Stenton, Susan Walker, Alicia Ljungdahl, Jenny Lord, Vijay S Ganesh, Jialan Ma, Alexandra C Martin-Geary, Gabrielle Lemire, Elston N D'Souza, Shan Dong, Jamie M Ellingford, David R Adams, Kirsten Allan, Madhura Bakshi, Erin E Baldwin, Seth I Berger, Jonathan A Bernstein, Natasha J Brown, Lindsay C Burrage, Kimberly Chapman, Alison G Compton, Chloe A Cunningham, Precilla D'Souza, Emmanuèle C Délot, Kerith-Rae Dias, Ellen R Elias, Carey-Anne Evans, Lisa Ewans, Kimberly Ezell, Jamie L Fraser, Lyndon Gallacher, Casie A Genetti, Christina L Grant, Tobias Haack, Alma Kuechler, Seema R Lalani, Elsa Leitão, Anna Le Fevre, Richard J Leventer, Jan E Liebelt, Paul J Lockhart, Alan S Ma, Ellen F Macnamara, Taylor M Maurer, Hector R Mendez, Stephen B Montgomery, Marie-Cécile Nassogne, Serena Neumann, Melanie O'Leary, Elizabeth E Palmer, John Phillips, Georgia Pitsava, Ryan Pysar, Heidi L Rehm, Chloe M Reuter, Nicole Revencu, Angelika Riess, Rocio Rius, Lance Rodan, Tony Roscioli, Jill A Rosenfeld, Rani Sachdev, Cas Simons, Sanjay M Sisodiya, Penny Snell, Laura St Clair, Zornitza Stark, Tiong Yang Tan, Natalie B Tan, Suzanna El Temple, David R Thorburn, Cynthia J Tifft, Eloise Uebergang, Grace E VanNoy, Eric Vilain, David H Viskochil, Laura Wedd, Matthew T Wheeler, Susan M White, Monica Wojcik, Lynne A Wolfe, Zoe Wolfenson, Changrui Xiao, David Zocche, John L Rubenstein, Eirene Markenscoff-Papadimitriou, Sebastian M Fica, Diana Baralle, Christel Depienne, Daniel G MacArthur, Joanna Mm Howson, Stephan J Sanders, Anne O'Donnell-Luria, Nicola Whiffin
Around 60% of individuals with neurodevelopmental disorders (NDD) remain undiagnosed after comprehensive genetic testing, primarily of protein-coding genes 1 . Increasingly, large genome-sequenced cohorts are improving our ability to discover new diagnoses in the non-coding genome. Here, we identify the non-coding RNA RNU4-2 as a novel syndromic NDD gene. RNU4-2 encodes the U4 small nuclear RNA (snRNA), which is a critical component of the U4/U6.U5 tri-snRNP complex of the major spliceosome 2 . We identify an 18 bp region of RNU4-2 mapping to two structural elements in the U4/U6 snRNA duplex (the T-loop and Stem III) that is severely depleted of variation in the general population, but in which we identify heterozygous variants in 119 individuals with NDD...
April 9, 2024: medRxiv
https://read.qxmd.com/read/38645081/asymmetric-allostery-in-estrogen-receptor-%C3%AE-homodimers-drives-responses-to-the-ensemble-of-estrogens-in-the-hormonal-milieu
#38
Charles K Min, Jerome C Nwachukwu, Yingwei Hou, Robin J Russo, Alexandra Papa, Jian Min, Rouming Peng, Sung Hoon Kim, Yvonne Ziegler, Erumbi S Rangarajan, Tina Izard, Benita S Katzenellenbogen, John A Katzenellenbogen, Kendall W Nettles
UNLABELLED: The estrogen receptor-α (ER) is thought to function only as a homodimer, but responds to a variety of environmental, metazoan, and therapeutic estrogens at sub-saturating doses, supporting binding mixtures of ligands as well as dimers that are only partially occupied. Here, we present a series of flexible ER ligands that bind to receptor dimers with individual ligand poses favoring distinct receptor conformations -receptor conformational heterodimers-mimicking the binding of two different ligands...
April 13, 2024: bioRxiv
https://read.qxmd.com/read/38645054/chronic-hyperactivation-of-midbrain-dopamine-neurons-causes-preferential-dopamine-neuron-degeneration
#39
Katerina Rademacher, Zak Doric, Dominik Haddad, Aphroditi Mamaligas, Szu-Chi Liao, Rose B Creed, Kohei Kano, Zac Chatterton, Yuhong Fu, Joseph H Garcia, Victoria Vance, Yoshitaka Sei, Anatol Kreitzer, Glenda M Halliday, Alexandra B Nelson, Elyssa B Margolis, Ken Nakamura
Parkinson's disease (PD) is characterized by the death of substantia nigra (SNc) dopamine (DA) neurons, but the pathophysiological mechanisms that precede and drive their death remain unknown. The activity of DA neurons is likely altered in PD, but we understand little about if or how chronic changes in activity may contribute to degeneration. To address this question, we developed a chemogenetic (DREADD) mouse model to chronically increase DA neuron activity, and confirmed this increase using ex vivo electrophysiology...
April 10, 2024: bioRxiv
https://read.qxmd.com/read/38645003/pilot-trial-of-perampanel-on-peritumoral-hyperexcitability-and-clinical-outcomes-in-newly-diagnosed-high-grade-glioma
#40
Steven Tobochnik, Michael S Regan, Maria K C Dorotan, Dustine Reich, Emily Lapinskas, Md Amin Hossain, Sylwia A Stopka, Sandro Santagata, Melissa M Murphy, Omar Arnaout, Wenya L Bi, E Antonio Chiocca, Alexandra J Golby, Michael A Mooney, Timothy R Smith, Keith L Ligon, Patrick Y Wen, Nathalie Y R Agar, Jong Woo Lee
Background Glutamatergic neuron-glioma synaptogenesis and peritumoral hyperexcitability promote glioma growth in a positive feedback loop. The objective of this study was to evaluate the feasibility and estimated effect sizes of the AMPA-R antagonist, perampanel, on intraoperative electrophysiologic hyperexcitability and clinical outcomes. Methods An open-label trial was performed comparing perampanel to standard of care (SOC) in patients undergoing resection of newly-diagnosed radiologic high-grade glioma...
April 18, 2024: medRxiv
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