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  1. Article ; Online: Targeting intracellular nontuberculous mycobacteria and

    Bartlett, Helen P / Dawson, Clinton C / Glickman, Cody M / Osborn, David W / Evans, Christopher R / Garcia, Benjamin J / Frost, Lauren C / Cummings, Jason E / Whittel, Nicholas / Slayden, Richard A / Holder, Jason W

    Microbiology spectrum

    2024  , Page(s) e0353423

    Abstract: To address intracellular mycobacterial infections, we developed a cocktail of four enzymes that catalytically attack three layers of the mycobacterial envelope. This cocktail is delivered to macrophages, through a targeted liposome presented here as ... ...

    Abstract To address intracellular mycobacterial infections, we developed a cocktail of four enzymes that catalytically attack three layers of the mycobacterial envelope. This cocktail is delivered to macrophages, through a targeted liposome presented here as ENTX_001. Endolytix Cocktail 1 (EC1) leverages mycobacteriophage lysin enzymes LysA and LysB, while also including α-amylase and isoamylase for degradation of the mycobacterial envelope from outside of the cell. The LysA family of proteins from mycobacteriophages has been shown to cleave the peptidoglycan layer, whereas LysB is an esterase that hydrolyzes the linkage between arabinogalactan and mycolic acids of the mycomembrane. The challenge of gaining access to the substrates of LysA and LysB provided exogenously was addressed by adding amylase enzymes that degrade the extracellular capsule shown to be present in
    Language English
    Publishing date 2024-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2807133-5
    ISSN 2165-0497 ; 2165-0497
    ISSN (online) 2165-0497
    ISSN 2165-0497
    DOI 10.1128/spectrum.03534-23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sex-specific lifetime risk of cardiovascular events: the European Prospective Investigation into Cancer-Norfolk prospective population cohort study.

    Pana, Tiberiu A / Mamas, Mamas A / Wareham, Nicholas J / Khaw, Kay-Tee / Dawson, Dana K / Myint, Phyo K

    European journal of preventive cardiology

    2023  Volume 31, Issue 2, Page(s) 230–241

    Abstract: Aims: Better understanding of sex differences in cardiovascular disease (CVD) is essential in tailoring appropriate preventative strategies. Using a large population-based study with follow-up >25 years, we aimed to determine sex-specific lifetime risks ...

    Abstract Aims: Better understanding of sex differences in cardiovascular disease (CVD) is essential in tailoring appropriate preventative strategies. Using a large population-based study with follow-up >25 years, we aimed to determine sex-specific lifetime risks of incident CVD and cardiovascular (CV) mortality amongst populations with and without prevalent CVD.
    Methods and results: Participants were drawn from the European Prospective Investigation into Cancer-Norfolk and followed up for a median of 26.2 years. Sex-specific lifetime risks were ascertained accounting for the competing risk of death. Models were adjusted for ethnicity and time-updated covariates: material deprivation, CV risk factors, lifestyle factors, comorbidities, and medication. A total of 23 859 participants [54.5% women; mean age (standard deviation) 59.2 (9.3) years at baseline] were included. Adjusted lifetime risks of incident CVD were higher in men than in women (69.1 vs. 57.7% at age 75): cause-specific hazard ratio (cHR) (99% confidence interval)-1.49 (1.41-1.57), while the risks of CV mortality at age 75 were 4.4% (men) and 3.1% (women): cHR-1.42 (1.31-1.54). Myocardial infarction was the predominant first presentation in men until the eighth decade. In women, the first CVD manifestations after their sixth decade were predominantly atrial fibrillation and stroke. The male-associated excess relative risks of incident CVD and CV mortality were halved in people with prevalent CVD.
    Conclusion: We characterized the sex-specific lifetime CV risks in a large cohort. Men had substantially higher risk of incident CVD and CV mortality than women, which was attenuated amongst people with prevalent CVD. Our findings provide an evidence base for sex-specific CV prevention.
    MeSH term(s) Humans ; Male ; Female ; Middle Aged ; Aged ; Cohort Studies ; Prospective Studies ; Risk Factors ; Sex Factors ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Myocardial Infarction/epidemiology ; Neoplasms/diagnosis ; Neoplasms/epidemiology ; Neoplasms/complications
    Language English
    Publishing date 2023-11-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2626011-6
    ISSN 2047-4881 ; 2047-4873
    ISSN (online) 2047-4881
    ISSN 2047-4873
    DOI 10.1093/eurjpc/zwad283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intestinal injury in paracetamol overdose (ATOM-8).

    Perananthan, Varan / Shihana, Fathima / Chiew, Angela L / George, Jacob / Dawson, Andrew / Buckley, Nicholas A

    Journal of gastroenterology and hepatology

    2023  

    Abstract: Background and aim: Paracetamol, a widely used medication, is known for its delayed hepatotoxicity in cases of overdose. However, the potential for intestinal toxicity resulting from very high paracetamol concentrations during absorption is not well ... ...

    Abstract Background and aim: Paracetamol, a widely used medication, is known for its delayed hepatotoxicity in cases of overdose. However, the potential for intestinal toxicity resulting from very high paracetamol concentrations during absorption is not well explored. This study aims to investigate the presence of intestinal toxicity and its correlation with observations in early and late paracetamol toxicity.
    Methods: Serial samples of 30 patients with acute paracetamol overdose (> 10 g or 200 mg/kg) were prospectively tested. Markers of enterocyte damage, including plasma intestinal fatty acid binding protein (IFABP) and selected gut-related microRNAs (miR-21, miR-122, miR-194, and miR-215), were analyzed. Sub-analysis was performed on patients presenting with hyperlactatemia defined as a lactate greater than 2 mmol/L within 12 h post ingestion.
    Results: In paracetamol overdose patients, median plasma IFABP was significantly elevated compared with healthy controls (720 μg/L [interquartile range, IQR, 533-1644] vs 270 μg/L [IQR 153-558], P < 0.001). Four patients had early hyperlactatemia and had significantly higher median plasma IFABP compared with those without early hyperlactatemia (3028 μg/L [IQR 1399-3556] vs 574 μg/L [IQR 526-943], P = 0.007). Furthermore, two microRNAs (miR-122 and miR-215) were downregulated in early hyperlactatemia (P = 0.019 and P = 0.006, respectively). Plasma IFABP concentrations correlated with paracetamol concentration (Spearman's r = 0.55) and lactate (r = 0.60).
    Conclusions: Paracetamol overdose causes concentration-related intestinal toxicity, and this is a possible explanation for the early hyperlactatemia syndrome. Intestinal toxicity has potential impacts on pharmacokinetics of other agents ingested and on the evolution of hepatotoxicity. Further studies are required to explore the mechanisms and prognostic implications of intestinal toxicity.
    Language English
    Publishing date 2023-12-27
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 632882-9
    ISSN 1440-1746 ; 0815-9319
    ISSN (online) 1440-1746
    ISSN 0815-9319
    DOI 10.1111/jgh.16450
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Virus-like particles displaying conserved toxin epitopes stimulate polyspecific, murine antibody responses capable of snake venom recognition.

    Menzies, Stefanie K / Dawson, Charlotte A / Crittenden, Edouard / Edge, Rebecca J / Hall, Steven R / Alsolaiss, Jaffer / Wilkinson, Mark C / Casewell, Nicholas R / Harrison, Robert A / Ainsworth, Stuart

    Scientific reports

    2022  Volume 12, Issue 1, Page(s) 11328

    Abstract: Antivenom is currently the first-choice treatment for snakebite envenoming. However, only a low proportion of antivenom immunoglobulins are specific to venom toxins, resulting in poor dose efficacy and potency. We sought to investigate whether linear ... ...

    Abstract Antivenom is currently the first-choice treatment for snakebite envenoming. However, only a low proportion of antivenom immunoglobulins are specific to venom toxins, resulting in poor dose efficacy and potency. We sought to investigate whether linear venom epitopes displayed on virus like particles can stimulate an antibody response capable of recognising venom toxins from diverse medically important species. Bioinformatically-designed epitopes, corresponding to predicted conserved regions of group I phospholipase A
    MeSH term(s) Animals ; Antibody Formation ; Antivenins ; Elapid Venoms/genetics ; Epitopes ; Female ; Mice ; Snake Venoms ; Toxins, Biological
    Chemical Substances Antivenins ; Elapid Venoms ; Epitopes ; Snake Venoms ; Toxins, Biological
    Language English
    Publishing date 2022-07-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-022-13376-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Potential role of cross-education in early-stage rehabilitation after anterior cruciate ligament reconstruction.

    Andrushko, Justin W / Carr, Joshua C / Farthing, Jonathan P / Lepley, Lindsey K / DeFreitas, Jason M / Goodall, Stuart / Hendy, Ashlee M / Howatson, Glyn / Grooms, Dustin R / Zult, Tjerk / Hortobagyi, Tibor / Harput, Gulcan / Papandreou, Maria / Nosaka, Kazunori / Carson, Richard G / Manca, Andrea / Deriu, Franca / Behm, David George / Kidgell, Dawson J /
    Clark, Nicholas C / Boyd, Lara A

    British journal of sports medicine

    2023  Volume 57, Issue 23, Page(s) 1474–1475

    MeSH term(s) Humans ; Anterior Cruciate Ligament/surgery ; Knee Joint/surgery ; Anterior Cruciate Ligament Reconstruction/rehabilitation ; Anterior Cruciate Ligament Injuries/surgery
    Language English
    Publishing date 2023-10-11
    Publishing country England
    Document type Editorial
    ZDB-ID 600592-5
    ISSN 1473-0480 ; 0306-3674
    ISSN (online) 1473-0480
    ISSN 0306-3674
    DOI 10.1136/bjsports-2023-107456
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Exploring the Utility of Recombinant Snake Venom Serine Protease Toxins as Immunogens for Generating Experimental Snakebite Antivenoms.

    Alomran, Nessrin / Blundell, Patricia / Alsolaiss, Jaffer / Crittenden, Edouard / Ainsworth, Stuart / Dawson, Charlotte A / Edge, Rebecca J / Hall, Steven R / Harrison, Robert A / Wilkinson, Mark C / Menzies, Stefanie K / Casewell, Nicholas R

    Toxins

    2022  Volume 14, Issue 7

    Abstract: Snakebite is a neglected tropical disease that causes high rates of global mortality and morbidity. Although snakebite can cause a variety of pathologies in victims, haemotoxic effects are particularly common and are typically characterised by ... ...

    Abstract Snakebite is a neglected tropical disease that causes high rates of global mortality and morbidity. Although snakebite can cause a variety of pathologies in victims, haemotoxic effects are particularly common and are typically characterised by haemorrhage and/or venom-induced consumption coagulopathy. Despite polyclonal antibody-based antivenoms being the mainstay life-saving therapy for snakebite, they are associated with limited cross-snake species efficacy, as there is often extensive toxin variation between snake venoms, including those used as immunogens for antivenom production. This restricts the therapeutic utility of any antivenom to certain geographical regions. In this study, we explored the feasibility of using recombinantly expressed toxins as immunogens to stimulate focused, pathology-specific, antibodies in order to broadly counteract specific toxins associated with snakebite envenoming. Three snake venom serine proteases (SVSP) toxins, sourced from geographically diverse and medically important viper snake venoms, were successfully expressed in HEK293F mammalian cells and used for murine immunisation. Analyses of the resulting antibody responses revealed that ancrod and RVV-V stimulated the strongest immune responses, and that experimental antivenoms directed against these recombinant SVSP toxins, and a mixture of the three different immunogens, extensively recognised and exhibited immunological binding towards a variety of native snake venoms. While the experimental antivenoms showed some reduction in abnormal clotting parameters stimulated by the toxin immunogens and crude venom, specifically reducing the depletion of fibrinogen levels and prolongation of prothrombin times, fibrinogen degradation experiments revealed that they broadly protected against venom- and toxin-induced fibrinogenolytic functional activities. Overall, our findings further strengthen the case for the use of recombinant venom toxins as supplemental immunogens to stimulate focused and desirable antibody responses capable of neutralising venom-induced pathological effects, and therefore potentially circumventing some of the limitations associated with current snakebite therapies.
    MeSH term(s) Animals ; Antivenins/therapeutic use ; Fibrinogen ; Mammals ; Mice ; Serine Proteases ; Snake Bites/therapy ; Snake Venoms/toxicity ; Snakes ; Viper Venoms/toxicity
    Chemical Substances Antivenins ; Snake Venoms ; Viper Venoms ; Fibrinogen (9001-32-5) ; Serine Proteases (EC 3.4.-)
    Language English
    Publishing date 2022-06-29
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2518395-3
    ISSN 2072-6651 ; 2072-6651
    ISSN (online) 2072-6651
    ISSN 2072-6651
    DOI 10.3390/toxins14070443
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Exploring the Utility of Recombinant Snake Venom Serine Protease Toxins as Immunogens for Generating Experimental Snakebite Antivenoms

    Nessrin Alomran / Patricia Blundell / Jaffer Alsolaiss / Edouard Crittenden / Stuart Ainsworth / Charlotte A. Dawson / Rebecca J. Edge / Steven R. Hall / Robert A. Harrison / Mark C. Wilkinson / Stefanie K. Menzies / Nicholas R. Casewell

    Toxins, Vol 14, Iss 7, p

    2022  Volume 443

    Abstract: Snakebite is a neglected tropical disease that causes high rates of global mortality and morbidity. Although snakebite can cause a variety of pathologies in victims, haemotoxic effects are particularly common and are typically characterised by ... ...

    Abstract Snakebite is a neglected tropical disease that causes high rates of global mortality and morbidity. Although snakebite can cause a variety of pathologies in victims, haemotoxic effects are particularly common and are typically characterised by haemorrhage and/or venom-induced consumption coagulopathy. Despite polyclonal antibody-based antivenoms being the mainstay life-saving therapy for snakebite, they are associated with limited cross-snake species efficacy, as there is often extensive toxin variation between snake venoms, including those used as immunogens for antivenom production. This restricts the therapeutic utility of any antivenom to certain geographical regions. In this study, we explored the feasibility of using recombinantly expressed toxins as immunogens to stimulate focused, pathology-specific, antibodies in order to broadly counteract specific toxins associated with snakebite envenoming. Three snake venom serine proteases (SVSP) toxins, sourced from geographically diverse and medically important viper snake venoms, were successfully expressed in HEK293F mammalian cells and used for murine immunisation. Analyses of the resulting antibody responses revealed that ancrod and RVV-V stimulated the strongest immune responses, and that experimental antivenoms directed against these recombinant SVSP toxins, and a mixture of the three different immunogens, extensively recognised and exhibited immunological binding towards a variety of native snake venoms. While the experimental antivenoms showed some reduction in abnormal clotting parameters stimulated by the toxin immunogens and crude venom, specifically reducing the depletion of fibrinogen levels and prolongation of prothrombin times, fibrinogen degradation experiments revealed that they broadly protected against venom- and toxin-induced fibrinogenolytic functional activities. Overall, our findings further strengthen the case for the use of recombinant venom toxins as supplemental immunogens to stimulate focused and desirable antibody responses capable of ...
    Keywords antivenom ; immunogen ; polyclonal antibodies ; recombinant expression ; snake venom toxin ; serine proteases ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: A meta-analysis of previous falls and subsequent fracture risk in cohort studies.

    Vandenput, Liesbeth / Johansson, Helena / McCloskey, Eugene V / Liu, Enwu / Schini, Marian / Åkesson, Kristina E / Anderson, Fred A / Azagra, Rafael / Bager, Cecilie L / Beaudart, Charlotte / Bischoff-Ferrari, Heike A / Biver, Emmanuel / Bruyère, Olivier / Cauley, Jane A / Center, Jacqueline R / Chapurlat, Roland / Christiansen, Claus / Cooper, Cyrus / Crandall, Carolyn J /
    Cummings, Steven R / da Silva, José A P / Dawson-Hughes, Bess / Diez-Perez, Adolfo / Dufour, Alyssa B / Eisman, John A / Elders, Petra J M / Ferrari, Serge / Fujita, Yuki / Fujiwara, Saeko / Glüer, Claus-Christian / Goldshtein, Inbal / Goltzman, David / Gudnason, Vilmundur / Hall, Jill / Hans, Didier / Hoff, Mari / Hollick, Rosemary J / Huisman, Martijn / Iki, Masayuki / Ish-Shalom, Sophia / Jones, Graeme / Karlsson, Magnus K / Khosla, Sundeep / Kiel, Douglas P / Koh, Woon-Puay / Koromani, Fjorda / Kotowicz, Mark A / Kröger, Heikki / Kwok, Timothy / Lamy, Olivier / Langhammer, Arnulf / Larijani, Bagher / Lippuner, Kurt / McGuigan, Fiona E A / Mellström, Dan / Merlijn, Thomas / Nguyen, Tuan V / Nordström, Anna / Nordström, Peter / O'Neill, Terence W / Obermayer-Pietsch, Barbara / Ohlsson, Claes / Orwoll, Eric S / Pasco, Julie A / Rivadeneira, Fernando / Schott, Anne-Marie / Shiroma, Eric J / Siggeirsdottir, Kristin / Simonsick, Eleanor M / Sornay-Rendu, Elisabeth / Sund, Reijo / Swart, Karin M A / Szulc, Pawel / Tamaki, Junko / Torgerson, David J / van Schoor, Natasja M / van Staa, Tjeerd P / Vila, Joan / Wareham, Nicholas J / Wright, Nicole C / Yoshimura, Noriko / Zillikens, MCarola / Zwart, Marta / Harvey, Nicholas C / Lorentzon, Mattias / Leslie, William D / Kanis, John A

    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

    2024  Volume 35, Issue 3, Page(s) 469–494

    Abstract: The relationship between self-reported falls and fracture risk was estimated in an international meta-analysis of individual-level data from 46 prospective cohorts. Previous falls were associated with an increased fracture risk in women and men and ... ...

    Abstract The relationship between self-reported falls and fracture risk was estimated in an international meta-analysis of individual-level data from 46 prospective cohorts. Previous falls were associated with an increased fracture risk in women and men and should be considered as an additional risk factor in the FRAX® algorithm.
    Introduction: Previous falls are a well-documented risk factor for subsequent fracture but have not yet been incorporated into the FRAX algorithm. The aim of this study was to evaluate, in an international meta-analysis, the association between previous falls and subsequent fracture risk and its relation to sex, age, duration of follow-up, and bone mineral density (BMD).
    Methods: The resource comprised 906,359 women and men (66.9% female) from 46 prospective cohorts. Previous falls were uniformly defined as any fall occurring during the previous year in 43 cohorts; the remaining three cohorts had a different question construct. The association between previous falls and fracture risk (any clinical fracture, osteoporotic fracture, major osteoporotic fracture, and hip fracture) was examined using an extension of the Poisson regression model in each cohort and each sex, followed by random-effects meta-analyses of the weighted beta coefficients.
    Results: Falls in the past year were reported in 21.4% of individuals. During a follow-up of 9,102,207 person-years, 87,352 fractures occurred of which 19,509 were hip fractures. A previous fall was associated with a significantly increased risk of any clinical fracture both in women (hazard ratio (HR) 1.42, 95% confidence interval (CI) 1.33-1.51) and men (HR 1.53, 95% CI 1.41-1.67). The HRs were of similar magnitude for osteoporotic, major osteoporotic fracture, and hip fracture. Sex significantly modified the association between previous fall and fracture risk, with predictive values being higher in men than in women (e.g., for major osteoporotic fracture, HR 1.53 (95% CI 1.27-1.84) in men vs. HR 1.32 (95% CI 1.20-1.45) in women, P for interaction = 0.013). The HRs associated with previous falls decreased with age in women and with duration of follow-up in men and women for most fracture outcomes. There was no evidence of an interaction between falls and BMD for fracture risk. Subsequent risk for a major osteoporotic fracture increased with each additional previous fall in women and men.
    Conclusions: A previous self-reported fall confers an increased risk of fracture that is largely independent of BMD. Previous falls should be considered as an additional risk factor in future iterations of FRAX to improve fracture risk prediction.
    MeSH term(s) Male ; Humans ; Female ; Osteoporotic Fractures/epidemiology ; Osteoporotic Fractures/etiology ; Prospective Studies ; Risk Assessment ; Cohort Studies ; Risk Factors ; Bone Density ; Hip Fractures/etiology ; Hip Fractures/complications
    Language English
    Publishing date 2024-01-17
    Publishing country England
    Document type Meta-Analysis ; Journal Article
    ZDB-ID 1064892-6
    ISSN 1433-2965 ; 0937-941X
    ISSN (online) 1433-2965
    ISSN 0937-941X
    DOI 10.1007/s00198-023-07012-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Snakebite drug discovery: high-throughput screening to identify novel snake venom metalloproteinase toxin inhibitors.

    Clare, Rachel H / Dawson, Charlotte A / Westhorpe, Adam / Albulescu, Laura-Oana / Woodley, Christopher M / Mosallam, Nada / Chong, Daniel J W / Kool, Jeroen / Berry, Neil G / O'Neill, Paul M / Casewell, Nicholas R

    Frontiers in pharmacology

    2024  Volume 14, Page(s) 1328950

    Abstract: Snakebite envenoming results in ∼100,000 deaths per year, with close to four times as many victims left with life-long sequelae. Current antivenom therapies have several limitations including high cost, variable cross-snake species efficacy and a ... ...

    Abstract Snakebite envenoming results in ∼100,000 deaths per year, with close to four times as many victims left with life-long sequelae. Current antivenom therapies have several limitations including high cost, variable cross-snake species efficacy and a requirement for intravenous administration in a clinical setting. Next-generation snakebite therapies are being widely investigated with the aim to improve cost, efficacy, and safety. In recent years several small molecule drugs have shown considerable promise for snakebite indication, with oral bioavailability particularly promising for community delivery rapidly after a snakebite. However, only two such drugs have entered clinical development for snakebite. To offset the risk of attrition during clinical trials and to better explore the chemical space for small molecule venom toxin inhibitors, here we describe the first high throughput drug screen against snake venom metalloproteinases (SVMPs)-a pathogenic toxin family responsible for causing haemorrhage and coagulopathy. Following validation of a 384-well fluorescent enzymatic assay, we screened a repurposed drug library of 3,547 compounds against five geographically distinct and toxin variable snake venoms. Our drug screen resulted in the identification of 14 compounds with pan-species inhibitory activity. Following secondary potency testing, four SVMP inhibitors were identified with nanomolar EC
    Language English
    Publishing date 2024-01-11
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587355-6
    ISSN 1663-9812
    ISSN 1663-9812
    DOI 10.3389/fphar.2023.1328950
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Online interventions for people hospitalized for deliberate self-harm and problematic alcohol use: Lessons learned from the iiAIM trial.

    Crouse, Jacob J / Morley, Kirsten C / Buckley, Nicholas / Dawson, Andrew / Seth, Devanshi / Monds, Lauren A / Tickell, Ashleigh / Kay-Lambkin, Frances / Chitty, Kate M

    Bulletin of the Menninger Clinic

    2021  Volume 85, Issue 2, Page(s) 123–142

    Abstract: Deliberate self-harm and suicide affect all age groups, sexes, and regions, and their prevention is a global health priority. Acute alcohol misuse and chronic alcohol misuse are strong, modifiable risk factors, and Internet interventions aiming to reduce ...

    Abstract Deliberate self-harm and suicide affect all age groups, sexes, and regions, and their prevention is a global health priority. Acute alcohol misuse and chronic alcohol misuse are strong, modifiable risk factors, and Internet interventions aiming to reduce alcohol misuse and comorbid mental health problems (e.g., depression) are a promising and effective treatment modality. The research team aimed to evaluate the feasibility and effectiveness of an Internet-based comorbidity intervention primarily aiming to reduce alcohol consumption, and secondarily to reduce readmission for deliberate self-harm and improve psychological outcomes among people hospitalized for deliberate self-harm who also engage in problematic alcohol use. However, due to several barriers to recruitment, the trial could not be completed and was discontinued. The authors present a "Lessons Learned" discussion and describe the Internet Intervention for Alcohol Improvement (iiAIM) trial, discuss the key barriers experienced by the research team, and recommend potential solutions that may help future trials in this area.
    MeSH term(s) Alcohol Drinking ; Comorbidity ; Humans ; Internet-Based Intervention ; Risk Factors ; Suicide
    Language English
    Publishing date 2021-06-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 390416-7
    ISSN 1943-2828 ; 0025-9284
    ISSN (online) 1943-2828
    ISSN 0025-9284
    DOI 10.1521/bumc.2021.85.2.123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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